Individual
LAURA PUCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1015 RIDGE RD, WEBSTER, NY 14580-2907
(585) 872-4394
(585) 872-9035
Mailing address
1015 RIDGE RD, WEBSTER, NY 14580-2907
(585) 872-4394
(585) 872-9035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009209
NY
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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