Individual
LANEASHA MARIE EUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
321 W ONONDAGA ST, SYRACUSE, NY 13202-3207
(315) 478-2030
Mailing address
213 SUNNYBROOK DR, SYRACUSE, NY 13219-1231
(315) 604-1974
(315) 800-6476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402314
NY
Other
Enumeration date
10/05/2017
Last updated
11/06/2024
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