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Individual
MRS. LAURIE ANN MCKENNA
Active
Individual
MRS. LAURIE ANN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33-331707
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
40-401097
NY
Other
Enumeration date
05/02/2011
Last updated
10/27/2022
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