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1669470951
LAUREN C DERRICK
LIVERPOOL, NY
NPI
1669470951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 301621)
Enumeration Date
2005-07-11
Last Update Date
2019-09-26
Business Address
LAUREN C DERRICK NP
5112 W TAFT RD STE J
LIVERPOOL, NY 13088-4866
Phone number: 315-701-2170
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Mailing Address
LAUREN C DERRICK NP
510 TOWNE DR
FAYETTEVILLE, NY 13066-1331
Phone number: 315-663-0500
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