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PATRICK JEROME LANIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1571 WASHINGTON ST, SUITE 101, WATERTOWN, NY 13601-9304
(315) 786-5046
Mailing address
1571 WASHINGTON ST, SUITE 101, WATERTOWN, NY 13601-9304
(315) 786-5046

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1583191
NY
2085R0203X
Therapeutic Radiology Physician
1583191
NY
2085R0204X
Vascular & Interventional Radiology Physician
1583191
NY

Other

Enumeration date
08/23/2005
Last updated
01/15/2014
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