Individual
MRS. LARA A CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RPAC
Contact information
Practice address
219 BRYANT ST, DEPT OF NEONATOLOGY, BUFFALO, NY 14222-2006
(716) 878-7000
Mailing address
108 COLONIAL AVE, KENMORE, NY 14217-1156
(716) 523-2090
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010777-1
NY
Other
Enumeration date
09/26/2005
Last updated
04/24/2014
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