LANCE EDWARDS

PORT JEFFERSON, NY
NPI1487638037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NY  168561)
Enumeration Date2005-12-06
Last Update Date2011-10-10
Business Address
-- LANCE EDWARDS MD
118 N COUNTRY RD
PORT JEFFERSON, NY 11777-2120
Phone number: 631-473-7171
Mailing Address
-- LANCE EDWARDS MD
118 N COUNTRY RD
PORT JEFFERSON, NY 11777-2120
Phone number: 631-473-7171
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