National Provider Identifier

Laurie M Herbst, RPA-C

Laurie M Herbst, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1457316762Buffalo, NYPhysician Assistant

Profile Overview

NPI
1457316762
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 19, 2006
Last Updated
January 14, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1457316762
Entity Type
Individual
Last Name
Herbst
First Name
Laurie
Middle Name
M
Credential
RPA-C
Provider Other Last Name
Costlow
Provider Other First Name
Laurie
Provider Other Middle Name
M
Provider Other Last Name Type Code
1
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-3423
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-3423
Enumeration Date
April 19, 2006
Last Updated
January 14, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 14, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
01718083 (NY)