Provider First Line Business Practice Location Address:
12 LEACH RD
Provider Second Line Business Practice Location Address:
LYONS HEALTH CENTER
Provider Business Practice Location Address City Name:
LYONS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14489-9732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-946-6075
Provider Business Practice Location Address Fax Number:
315-946-4254
Provider Enumeration Date:
10/19/2006