| Ldg Sleep Academy | |
|
39 Elizabeth Dr Lockport NY 14094-5226 | |
| (716) 433-6004 | |
| (716) 433-7547 |
| Full Name | Ldg Sleep Academy |
|---|---|
| Speciality | Dentist |
| Location | 39 Elizabeth Dr, Lockport, New York |
| Authorized Official Name and Position | Todd Mitchell Retell (PRESIDENT) |
| Authorized Official Contact | 7164336004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldg Sleep Academy 39 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 433-6004 | Ldg Sleep Academy 39 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 433-6004 |
| NPI Number | 1154482818 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 7315269040 |
|---|---|
| Medicare Enrollment ID | O20141208000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154482818 | NPI | - | NPPES |
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