National Provider Identifier

Lara Camille Barco, FNP

Lara Camille Barco, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 865-8210.

NPI 1528738689Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1528738689
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 20, 2021
Last Updated
December 15, 2021

Practice Location

  • 2655 Ridgeway Ave Ste 480
  • Rochester, NY 14626-4296

Phone: (585) 865-8210

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1528738689
Entity Type
Individual
Last Name
Barco
First Name
Lara
Middle Name
Camille
Name Prefix
Mrs.
Credential
FNP
Provider Other Last Name
Verhulst
Provider Other First Name
Lara
Provider Other Middle Name
Camille
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 865-8210
Mailing Fax
(585) 865-7597
Practice Street Address
2655 Ridgeway Ave Ste 480
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4296
Practice Country
US
Practice Phone
(585) 865-8210
Practice Fax
(585) 865-7597
Enumeration Date
September 20, 2021
Last Updated
December 15, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)