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Individual

LAURA K CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 CARTER STREET, ROCHESTER, NY 14621
(585) 338-1400
(585) 336-4845
Mailing address
800 CARTER STREET, ATTN KELLY STEELE, ROCHESTER, NY 14621
(585) 339-4793
(585) 336-4845

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
204614
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355266
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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