Lea Duserick

NPI #1104219328 in Victor, New York

Provider Information

NPI Number: 1104219328
Entity Type: Individual
Name: Lea Duserick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 12, 2015
Last Updated: Mar 12, 2015

Practice Location

Address: 590 FISHERS STATION DR
Address 2: SUITE 130
City: Victor
State: New York
ZIP Code: 14564-9744
Phone: (585) 924-7207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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