IAN CHARLES LORD

NEW YORK, NY
NPI1275671323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  009863)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Mr. IAN CHARLES LORD pa
506 MALCOLM X BLVD
NEW YORK, NY 10037-1802
Phone number: 212-989-4680
Mailing Address
Mr. IAN CHARLES LORD pa
277 MILLBROOK AVE
RANDOLPH, NJ 07869-2105
Phone number: 973-607-1739
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