Lerum, Carolyn W

Lerum, Carolyn W is an individual health care provider with primary practice located at 1656 Champlin Ave , Utica NY 13502-4830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lerum, Carolyn W can be contacted via phone (315) 624-6241.

Contact Information

Primary practice address
1656 Champlin Ave Utica NY 13502-4830
Phone: (315) 624-6241
Fax: (315) 624-6395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360435-1 New York

Profile Details

NPI number 1952580458
LBN Legal business name Lerum, Carolyn W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952580458 NPPES
New York MEDICAID 03577277
New York Other F360435-1

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