Individual
MRS. ANITA L LIGHTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
GEBBIE CLINICS, 805 S. CROUSE AVE., SYRACUSE, NY 13244-0001
(315) 443-9647
(315) 443-4413
Mailing address
GEBBIE CLINICS, 805 S. CROUSE AVE., SYRACUSE, NY 13244-0001
(315) 443-9647
(315) 443-4413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010114-1
NY
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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