Individual
MRS. DAWN ELLEN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPO
Contact information
Practice address
89 MONTCALM ST, TICONDEROGA, NY 12883-1385
(518) 585-4000
(518) 585-5286
Mailing address
89 MONTCALM STREET, TICONDEROGA, NY 12883-4004
(518) 585-4000
(518) 585-5286
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008987
NY
Other
Enumeration date
05/12/2009
Last updated
05/04/2015
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