Individual
DR. LAUREN MIKESELL PANEBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
Mailing address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
284318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284318
LICENSE
—
Enumeration date
06/10/2013
Last updated
06/17/2020
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