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Individual

LAURA H JANISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
905 CULVER RD, ROCHESTER, NY 14609-7141
(585) 275-7892
(585) 341-6673
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001095
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02381973
NY
01
7691520
AETNA
NY
01
MDH758
PREFERRED CARE
NY
Enumeration date
07/04/2006
Last updated
07/08/2007
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