Individual
DONNA JEANNE LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1156 STATE ROUTE 374, DANNEMORA, NY 12929
(518) 492-2511
(518) 492-2503
Mailing address
PO BOX 2000, DANNEMORA, NY 12929-2000
(518) 492-2511
(518) 492-2503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352323
NY
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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