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General NPI Number Information
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NPI Number | 1922018845
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Entity Type | Organization
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Legal Business Name | LOWVILLE MEDICAL ASSOCIATES LLP
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 5402 DAYAN ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1100
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Country | US
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Telephone | 315-376-4600
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Fax | 315-376-5587
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Provider Business Mailing Address
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Address Line | 5402 DAYAN ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1100
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Country | US
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Telephone | 315-376-4600
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Fax | 315-376-5587
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Authorized Official
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Title or Position | PHYSICIAN PROVIDER PARTNER
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Name | STEVEN L LYNDAKER
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Credential | MD
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Telephone | 315-376-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 013015-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NY
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