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Individual

LAURIE ANNETTE MINARICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0550
(585) 275-7744
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
01081577A
IN
2080P0205X
Pediatric Endocrinology Physician
099894
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
327027
NY
2080P0205X
Pediatric Endocrinology Physician
MD2017-0244
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073958
OH
Enumeration date
03/15/2007
Last updated
01/19/2024
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