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Individual

DR. LOURDES FORLALES CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
71 KENMORE AVE, AMHERST, NY 14226-3031
(716) 832-3111
(716) 836-3212
Mailing address
71 KENMORE AVE, AMHERST, NY 14226-3031
(716) 832-3111
(716) 836-3212

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
136118
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00951822
NY
Enumeration date
06/28/2006
Last updated
07/08/2007
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