Individual
MEAGAN LAURICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SOUTH AVE, BOX 74, ROCHESTER, NY 14620-2733
(585) 341-6887
Mailing address
160 WILSONIA RD, ROCHESTER, NY 14609-6758
(518) 428-9276
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
382202
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382202
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F382202
LICENSE
NY
Enumeration date
08/10/2011
Last updated
07/06/2023
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