National Provider Identifier
Lodewijk Anton Magre, M.D.
Lodewijk Anton Magre, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Ithaca, NY and a listed phone number of (607) 257-7825.
Profile Overview
- NPI
- 1598097644
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- January 30, 2010
- Last Updated
- March 07, 2023
Practice Location
- 228 Berkshire RD
- Ithaca, NY 14850-1420
Phone: (607) 257-7825
Specialties
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1598097644
- Entity Type
- Individual
- Last Name
- Magre
- First Name
- Lodewijk
- Middle Name
- Anton
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 228 Berkshire RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1420
- Mailing Country
- US
- Mailing Phone
- (607) 257-7825
- Practice Street Address
- 228 Berkshire RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1420
- Practice Country
- US
- Practice Phone
- (607) 257-7825
- Enumeration Date
- January 30, 2010
- Last Updated
- March 07, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X)