person
Lance Edwards, MD
Gynecology Physician in Port Jefferson, New York
NPI 1487638037

Lance Edwards is a Gynecology Physician based in Port Jefferson, NY and is specialized in Gynecology. Lance Edwards practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Lance Edwards is 1487638037 and holds a License No. 168561 (New York).

The current practice location address for Lance Edwards is 118 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-473-7171 and via fax at 631-473-4605.

Location: 118 N Country Rd, Port Jefferson, NY, 11777-2120
person
Provider Profile Details
NPI Number
1487638037
Provider Name
Lance Edwards
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
118 N Country Rd, Port Jefferson, NY, 11777-2120
Phone Number
631-473-7171
Fax Number
631-473-4605
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
118 N Country Rd
City
State
Zip
11777-2120
Phone Number
631-473-7171
Fax Number
631-473-4605
person
Provider Business Mailing Address Details
Address
118 N Country Rd
City
State
Zip
11777-2120
Phone Number
631-473-7171
Fax Number
631-473-4605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
168561 (New York)
Definition
Definition to come...
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