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Individual

LAURIE THURSTON-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2981
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
381464
NY
363L00000X
Nurse Practitioner
Primary
F381464
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019381464
BLUE CHOICE
Enumeration date
08/01/2006
Last updated
07/05/2023
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