Individual
LAURA ANN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7 EVANS ST, BATAVIA, NY 14020-3110
(585) 343-1250
(585) 343-8394
Mailing address
7 EVANS ST, BATAVIA, NY 14020-3110
(585) 343-1250
(585) 343-8394
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
005533-1
NY
363AM0700X
Medical Physician Assistant
Primary
005533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000570439002
BC/BS OF WNY
NY
05
—
02354245
—
NY
Enumeration date
05/26/2006
Last updated
03/19/2008
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