Individual
MRS. MICHELE M LANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
192 PARK CLUB LANE, SUITE 100, WILLIAMSVILLE, NY 14221
(716) 204-1101
(716) 204-0914
Mailing address
192 PARK CLUB LANE, SUITE 100, WILLIAMSVILLE, NY 14221
(716) 204-1101
(716) 204-0914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
F30372561
NY
Other
Enumeration date
07/07/2005
Last updated
07/07/2009
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