National Provider Identifier
Lesley Willis Vandermark, PHD, ATC
Lesley Willis Vandermark, PHD, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (814) 558-1788.
Profile Overview
- NPI
- 1548632839
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 26, 2015
- Last Updated
- October 09, 2024
Practice Location
- 29 Carriage Hl W
- Buffalo, NY 14221-2103
Phone: (814) 558-1788
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1548632839
- Entity Type
- Individual
- Last Name
- Vandermark
- First Name
- Lesley
- Middle Name
- Willis
- Name Prefix
- Dr.
- Credential
- PHD, ATC
- Mailing Street Address
- 29 Carriage Hl W
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2103
- Mailing Country
- US
- Mailing Phone
- (814) 558-1788
- Practice Street Address
- 29 Carriage Hl W
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-2103
- Practice Country
- US
- Practice Phone
- (814) 558-1788
- Enumeration Date
- October 26, 2015
- Last Updated
- October 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)