National Provider Identifier
Laura A Lack, AGPCPNP
Laura A Lack, AGPCPNP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Dunkirk, NY and a listed phone number of (716) 363-6050.
Profile Overview
- NPI
- 1275241747
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- November 14, 2022
- Last Updated
- April 03, 2024
Practice Location
- 75 E 3Rd St
- Dunkirk, NY 14048-2239
Phone: (716) 363-6050
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1275241747
- Entity Type
- Individual
- Last Name
- Lack
- First Name
- Laura
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- AGPCPNP
- Mailing Street Address
- 75 E 3Rd St
- Mailing City
- Dunkirk
- Mailing State
- NY
- Mailing ZIP Code
- 14048-2239
- Mailing Country
- US
- Mailing Phone
- (716) 363-6050
- Mailing Fax
- (833) 974-1992
- Practice Street Address
- 75 E 3Rd St
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2239
- Practice Country
- US
- Practice Phone
- (716) 363-6050
- Practice Fax
- (833) 974-1992
- Enumeration Date
- November 14, 2022
- Last Updated
- April 03, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)