Organization
LAKE CHAMPLAIN OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE S VAN NOSTRAND (OFFICE MANAGER)
(518) 566-9452
Entity
Organization
Contact information
Practice address
206 CORNELIA ST, SUITE 306, PLATTSBURGH, NY 12901-2779
(518) 566-9452
(519) 562-7189
Mailing address
206 CORNELIA ST, SUITE 306, PLATTSBURGH, NY 12901-2779
(518) 566-9452
(519) 562-7189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
11/03/2014
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