Individual
LINDA W LETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
181 MAPLE ST STE C, MASSENA, NY 13662-1052
(315) 769-1667
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F302461
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
302461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02166145
—
NY
Enumeration date
09/27/2005
Last updated
10/01/2025
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