Individual
IVAN LAMARQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 LONG POND RD, EMERGENCY DEPT, ROCHESTER, NY 14626-4122
(585) 723-7070
(585) 723-7045
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 723-7070
(585) 723-7045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
141868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01050311
—
NY
01
—
141868-OW CEM
WORKER'S COMPENSATION
NY
Enumeration date
06/18/2006
Last updated
04/29/2021
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