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Individual

LUCIA COLLAR YAGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
27 PARK AVE, FL 2, BINGHAMTON, NY 13903
(607) 772-6266
Mailing address
33 LEWIS RD FL 2, BINGHAMTON, NY 13905-1055
(607) 770-0025

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
11758442-1205
UT
208200000X
Plastic Surgery Physician
Primary
330613
NY

Other

Enumeration date
05/14/2012
Last updated
08/15/2024
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