National Provider Identifier

Laurel Otto, LPN

Laurel Otto, LPN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 454-4930.

NPI 1043514912Rochester, NYRegistered Nurse

Profile Overview

NPI
1043514912
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
January 06, 2011
Last Updated
January 06, 2011

Practice Location

  • 347 East Ave
  • Rochester, NY 14604-2617

Phone: (585) 454-4930

Mailing Address

  • 126 Baneberry Way
  • Hilton, NY 14468-8981

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1043514912
Entity Type
Individual
Last Name
Otto
First Name
Laurel
Credential
LPN
Mailing Street Address
126 Baneberry Way
Mailing City
Hilton
Mailing State
NY
Mailing ZIP Code
14468-8981
Mailing Country
US
Mailing Phone
(585) 392-7198
Practice Street Address
347 East Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604-2617
Practice Country
US
Practice Phone
(585) 454-4930
Enumeration Date
January 06, 2011
Last Updated
January 06, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
123456 (NY, RN)