National Provider Identifier

Laura Ann Moore, RPA-C

Laura Ann Moore, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Marion, NY and a listed phone number of (315) 926-7733.

NPI 1467466268Marion, NYMedical Physician Assistant

Profile Overview

NPI
1467466268
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 28, 2006
Last Updated
June 29, 2023

Practice Location

  • 3669 Countryside Ln
  • Marion, NY 14505-9781

Phone: (315) 926-7733

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Family Medicine Physician (207Q00000X)
  • Medical Physician Assistant (363AM0700X)

Endpoints

  • lmoore107891@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1467466268
Entity Type
Individual
Last Name
Moore
First Name
Laura
Middle Name
Ann
Name Prefix
Mrs.
Credential
RPA-C
Mailing Street Address
3669 Countryside Ln
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9781
Mailing Country
US
Mailing Phone
(315) 926-7733
Mailing Fax
(315) 926-0731
Practice Street Address
3669 Countryside Ln
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-9781
Practice Country
US
Practice Phone
(315) 926-7733
Practice Fax
(315) 926-0731
Enumeration Date
July 28, 2006
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Family Medicine Physician (207Q00000X), Medical Physician Assistant (363AM0700X)
Other Identifiers
P019003362 (NY, Blue Choice), PA0030 (NY, Preferred Care), 01293301 (NY)