Individual
CHERI LEA BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 N CHURCH ST, CORTLAND, NY 13045-2106
(607) 591-5727
Mailing address
4 N CHURCH ST, CORTLAND, NY 13045-2106
(607) 591-5727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
223494-1
NY
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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