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NPI Profile for LANCE EDWARDS in PORT JEFFERSON, NY.
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI Number | 1487638037 |
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| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 12/06/2005 | |
| Last updated | 10/10/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LANCE EDWARDS
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LANCE EDWARDS, MD