Individual
KAREN SUE LAURICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 RIDGE RD, STE 130, WEST SENECA, NY 14224-3332
(716) 675-0707
(716) 961-3706
Mailing address
1900 RIDGE RD, STE 130, WEST SENECA, NY 14224-3332
(716) 675-0707
(716) 961-3706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3337071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560781003
BCBS
—
Enumeration date
05/11/2006
Last updated
10/19/2012
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