Provider Demographics
NPI:1417403452
Name:LANPHERE, CHELSEA E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:E
Last Name:LANPHERE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:207 FOOTE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7077
Mailing Address - Country:US
Mailing Address - Phone:716-664-8120
Mailing Address - Fax:716-664-8337
Practice Address - Street 1:207 FOOTE AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-7077
Practice Address - Country:US
Practice Address - Phone:716-664-8120
Practice Address - Fax:716-664-8337
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY020172-01363A00000X
NY020172363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant