Individual
REGINA MARIE EDBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LINCOLN AVE, LOCKPORT, NY 14094-5531
(716) 523-4076
(716) 478-4509
Mailing address
250 LINCOLN AVE, LOCKPORT, NY 14094-5531
(716) 523-4076
(716) 478-4509
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417600-1
NY
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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