LYNN G WIDRICK

OGDENSBURG, NY
NPI1982754768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  490261)
Enumeration Date2007-01-12
Last Update Date2013-09-19
Business Address
-- LYNN G WIDRICK
214 KING ST
OGDENSBURG, NY 13669-1142
Phone number: 315-393-3600
Mailing Address
-- LYNN G WIDRICK
214 KING ST
OGDENSBURG, NY 13669-1142
Phone number: 315-393-3600