NPI Profile for ELIZABETH A LAX in COOPERSTOWN, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1184917676 |
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| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/17/2011 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ELIZABETH A LAX
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