Individual
MRS. LAURA A LACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCPNP
Contact information
Practice address
75 E 3RD ST, DUNKIRK, NY 14048-2239
(716) 363-6050
(833) 974-1992
Mailing address
75 E 3RD ST, DUNKIRK, NY 14048-2239
(716) 363-6050
(833) 974-1992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311074
NY
Other
Enumeration date
11/14/2022
Last updated
04/03/2024
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