Individual
AGNES OLUFUNKE LASEINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 HAGEN DR STE 300, ROCHESTER, NY 14625-2658
(585) 922-0150
(585) 586-9108
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331738
NY
207QA0505X
Adult Medicine Physician
331738
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
01/20/2026
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