Laurie Delores Ma Mansfield in Brockport - Pediatrics
Laurie Delores Ma Mansfield - NPI 1497954861
Laurie Delores Ma Mansfield is a Pediatrics in Brockport, New York. Laurie Delores Ma Mansfield practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laurie Delores Ma Mansfield is 1497954861. The last update date is 2007-07-16.
Laurie Delores Ma Mansfield's current location address is 90 Hideaway Ln, Brockport, New York. You can contact this provider via phone number 5853925190. The mailing address for Laurie Delores Ma Mansfield is 90 Hideaway Ln, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Delores Ma Mansfield |
|---|---|
| Address | 90 Hideaway Ln, Brockport, New York |
| Phone Number | 5853925190 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1497954861 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 90 Hideaway Ln |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 144209365 |
| Phone Number | 5853925190 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 515392 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2065209 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Laurie Delores Ma Mansfield?
The Laurie Delores Ma Mansfield has been issued the NPI (National Provider Identifier) 1497954861 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Laurie Delores Ma Mansfield's physical address?
The Laurie Delores Ma Mansfield is physically located at 90 Hideaway Ln, in the city of Brockport, NY, with the postal code 144209365.
What is Laurie Delores Ma Mansfield's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laurie Delores Ma Mansfield is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 163Wp0200X.
On what date did Laurie Delores Ma Mansfield receive its 1497954861 assignment from the Centers for Medicare & Medicaid Services?
The Laurie Delores Ma Mansfield was assigned its 1497954861 on 2007-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Laurie Delores Ma Mansfield most recently updated or revised?
The details related to Laurie Delores Ma Mansfield, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-16.