National Provider Identifier

Laurie Ryan Kotlowski, LPN

Laurie Ryan Kotlowski, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Tonawanda, NY and a listed phone number of (716) 828-5125.

NPI 1346733847North Tonawanda, NYLicensed Practical Nurse

Profile Overview

NPI
1346733847
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 08, 2018
Last Updated
September 12, 2022

Practice Location

  • 404 Oakdale Dr
  • North Tonawanda, NY 14120-2450

Phone: (716) 828-5125

Mailing Address

  • 404 Oakdale Dr.
  • North Tonawanda, NY 14120-2450

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1346733847
Entity Type
Individual
Last Name
Kotlowski
First Name
Laurie
Middle Name
Ryan
Name Prefix
Mrs.
Credential
LPN
Provider Other Last Name
Ryan
Provider Other First Name
Laurie
Provider Other Middle Name
Sue
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
404 Oakdale Dr.
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2450
Mailing Country
US
Mailing Phone
(716) 828-5125
Practice Street Address
404 Oakdale Dr
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-2450
Practice Country
US
Practice Phone
(716) 828-5125
Enumeration Date
June 08, 2018
Last Updated
September 12, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
September 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)