Individual
LANICCA N SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
(716) 533-4300
(716) 533-4301
Mailing address
70 JEWETT PKWY, BUFFALO, NY 14214-2322
(716) 533-4300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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