Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 188450 | NY |
NPI | 1275691180 |
---|---|
Provider Name | Lucinda Grovenburg |
First Address | Kerhonkson, NY 12446-1609 |
Second Address | Kerhonkson, NY 12446-1609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F74230 | (02) |