Individual
EDGAR LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 EDGEWOOD RD, SARANAC LAKE, NY 12983-1537
(518) 891-5535
Mailing address
70 EDGEWOOD RD, SARANAC LAKE, NY 12983-1537
(518) 891-5535
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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