Individual
MRS. LAURIE A REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1124
(716) 817-1739
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5300439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005608H001
BLUE CROSS BLUE SHIELD
NY
01
—
9511945
IHA
NY
Enumeration date
06/21/2006
Last updated
10/11/2019
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