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Individual

KAITLYN C LACHANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-5540
Mailing address
5015 DONGARA LN, CLAY, NY 13041-8659
(315) 532-9630

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352391
NY

Other

Enumeration date
07/06/2023
Last updated
10/04/2023
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