National Provider Identifier
Nicole Lara Conant
Nicole Lara Conant is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 467-4567.
Profile Overview
- NPI
- 1003170457
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 29, 2012
- Last Updated
- June 29, 2012
Practice Location
- 41 Colebrook Dr
- Rochester, NY 14617-2211
Phone: (585) 467-4567
Mailing Address
- 653 Greenleaf Mdws
- Rochester, NY 14612-4443
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1003170457
- Entity Type
- Individual
- Last Name
- Conant
- First Name
- Nicole
- Middle Name
- Lara
- Name Prefix
- Mrs.
- Provider Other Last Name
- Conant
- Provider Other First Name
- Nicole
- Provider Other Credential Text
- M.S.SPED
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 653 Greenleaf Mdws
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4443
- Mailing Country
- US
- Mailing Phone
- (607) 316-8909
- Practice Street Address
- 41 Colebrook Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-2211
- Practice Country
- US
- Practice Phone
- (585) 467-4567
- Enumeration Date
- June 29, 2012
- Last Updated
- June 29, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)