Lake Champlain Ob/gyn, PC
NPI #1891708095 in Plattsburgh, New York
Provider Information
- NPI Number
- 1891708095
- Entity Type
- Organization
- Organization Name
- Lake Champlain Ob/gyn, PC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Nov 3, 2014
Practice Location
- Address
- 206 CORNELIA ST
- Address 2
- SUITE 306
- City
- Plattsburgh
- State
- New York
- ZIP Code
- 12901-2779
- Phone
- (518) 566-9452
Authorized Official
- Name
- JEANNIE S VAN NOSTRAND
- Title
- OFFICE MANAGER
- Phone
- (518) 566-9452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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