person
Lucille Diana Mcdermott
Family Nurse Practitioner in West Winfield, New York
NPI 1609890516

Lucille Diana Mcdermott is a Family Nurse Practitioner based in West Winfield, NY and is specialized in Family. Lucille Diana Mcdermott practices in West Winfield, NY. The NPI Number for Lucille Diana Mcdermott is 1609890516 and holds a License No. 330606 (New York).

The current practice location address for Lucille Diana Mcdermott is 943 Us Highway 20, West Winfield, NY and can be reached out via phone at 315-822-3200 and via fax at 315-822-5193.

Location: 943 Us Highway 20, West Winfield, NY, 13491-1920
person
Provider Profile Details
NPI Number
1609890516
Provider Name
Lucille Diana Mcdermott
Credential
Provider Entity Type
Individual
Gender
Female
Address
943 Us Highway 20, West Winfield, NY, 13491-1920
Phone Number
315-822-3200
Fax Number
315-822-5193
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02648180 05 NY
institution
Provider Business Practice Location Address Details
Address
943 Us Highway 20
City
State
Zip
13491-1920
Phone Number
315-822-3200
Fax Number
315-822-5193
person
Provider Business Mailing Address Details
Address
943 Us Highway 20
City
State
Zip
13491-1920
Phone Number
315-822-3200
Fax Number
315-822-5193
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
330606 (New York)
Definition
Definition to come...
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