Individual
LAUREN MARIE WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5225 SHERIDAN DR, WILLIAMSVILLE, NY 14221-3573
(716) 839-3638
(716) 839-3102
Mailing address
5225 SHERIDAN DR, WILLIAMSVILLE, NY 14221-3573
(716) 839-3638
(716) 839-3102
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
17677
NY
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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