DR. Emerth Lance Coburn, MD
NPI #1477544096 in Queens Village, New York
Provider Information
- NPI Number
- 1477544096
- Entity Type
- Individual
- Name
- DR. Emerth Lance Coburn, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Nov 2, 2005
- Last Updated
- Mar 5, 2025
Practice Location
- Address
- 21401 110TH AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-1906
- Phone
- (929) 615-6447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Family Medicine |
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