Individual
LAZARUS B GEHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 HOOPER RD, ENDWELL FAMILY PHYSICIANS LLP, ENDWELL, NY 13760-3646
(607) 754-3863
(607) 754-5697
Mailing address
415 HOOPER RD, ENDWELL, NY 13760-3646
(607) 754-3863
(607) 754-5697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02127957
—
NY
01
—
10067080
CDPHP
—
01
—
142521
EMPIRE BS
—
01
—
391489
MVP SELECT
—
01
—
4210330
AETNA HMO
—
01
—
5997177
GHI
—
01
—
70145
GHI HMO
—
01
—
7633322
AETNA
—
01
—
NY0043417
CHAMPUS
—
Enumeration date
07/09/2006
Last updated
07/08/2007
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