Individual
LAURA JANE KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
220 LINDEN OAKS, SUITE 200, ROCHESTER, NY 14625-2839
(585) 381-4982
(585) 381-1821
Mailing address
220 LINDEN OAKS, SUITE 200, ROCHESTER, NY 14625-2839
(585) 381-4982
(585) 381-1821
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817069
—
NY
Enumeration date
06/01/2006
Last updated
04/04/2016
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