Individual
DARLENE ROSE LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2605 HARLEM RD, CHEEKTOWAGA, NY 14225-4018
(716) 891-2612
Mailing address
PO BOX 222, BUFFALO, NY 14205-0222
(905) 658-1043
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430295
NY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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