National Provider Identifier
Andrew Lanphere, ATC, LAT, CSCS
Andrew Lanphere, ATC, LAT, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Fredonia, NY and a listed phone number of (716) 672-4371.
Profile Overview
- NPI
- 1659978351
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 06, 2020
- Last Updated
- October 06, 2020
Practice Location
- 9520 Fredonia Stockton RD
- Fredonia, NY 14063-9518
Phone: (716) 672-4371
Mailing Address
- 12131 Hanford RD
- Silver Creek, NY 14136-9723
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1659978351
- Entity Type
- Individual
- Last Name
- Lanphere
- First Name
- Andrew
- Credential
- ATC, LAT, CSCS
- Mailing Street Address
- 12131 Hanford RD
- Mailing City
- Silver Creek
- Mailing State
- NY
- Mailing ZIP Code
- 14136-9723
- Mailing Country
- US
- Mailing Phone
- (716) 410-1384
- Practice Street Address
- 9520 Fredonia Stockton RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-9518
- Practice Country
- US
- Practice Phone
- (716) 672-4371
- Enumeration Date
- October 06, 2020
- Last Updated
- October 06, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)