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Individual

LAURA MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD CDE

Contact information

Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6807
(585) 341-6745
Mailing address
120 BOUGHTON HILL RD, HONEOYE FALLS, NY 14472-9769
(585) 341-6807
(585) 341-6745

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
005578ICDN
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
CDR566541
163WD0400X
Diabetes Educator Registered Nurse
09029199
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355266
NY
01
FA0638
PREFERRED CARE
NY
01
P0140059WH
BLUE CHOICE
NY
Enumeration date
07/31/2006
Last updated
01/20/2009
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