National Provider Identifier
Laura B Ridge, RPA-C
Laura B Ridge, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 677-3065.
Profile Overview
- NPI
- 1104821008
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 16, 2005
- Last Updated
- July 08, 2007
Practice Location
- 3065 Southwestern Blvd
- Ste 104
- Orchard Park, NY 14127-1239
Phone: (716) 677-3065
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1104821008
- Entity Type
- Individual
- Last Name
- Ridge
- First Name
- Laura
- Middle Name
- B
- Name Prefix
- Miss
- Credential
- RPA-C
- Mailing Street Address
- 3065 Southwestern Blvd
- Mailing Address Line 2
- Ste 104
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1239
- Mailing Country
- US
- Mailing Phone
- (716) 677-3065
- Mailing Fax
- (716) 712-0497
- Practice Street Address
- 3065 Southwestern Blvd
- Practice Address Line 2
- Ste 104
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1239
- Practice Country
- US
- Practice Phone
- (716) 677-3065
- Practice Fax
- (716) 712-0497
- Enumeration Date
- June 16, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)