National Provider Identifier
Meagan Lauricella
Meagan Lauricella is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 341-6887.
Profile Overview
- NPI
- 1184903056
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- August 10, 2011
- Last Updated
- July 06, 2023
Practice Location
- 1000 South Ave
- Box 74
- Rochester, NY 14620-2733
Phone: (585) 341-6887
Mailing Address
- 160 Wilsonia RD
- Rochester, NY 14609-6758
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1184903056
- Entity Type
- Individual
- Last Name
- Lauricella
- First Name
- Meagan
- Provider Other Last Name
- Clark
- Provider Other First Name
- Meagan
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 160 Wilsonia RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6758
- Mailing Country
- US
- Mailing Phone
- (518) 428-9276
- Practice Street Address
- 1000 South Ave
- Practice Address Line 2
- Box 74
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 341-6887
- Enumeration Date
- August 10, 2011
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 23, 2021
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X), Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- F382202 (NY, License)