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Individual

GARRET LAMENDOLA SITENGA

Active
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Individual

GARRET LAMENDOLA SITENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD3811
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180034315
RR MEDICARE
AK
01
D08608864
DME/SUBMITTER ID
AK
05
MD3811
AK
Enumeration date
07/31/2006
Last updated
09/05/2008
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