National Provider Identifier

Lara A Connelly, MS, RPAC

Lara A Connelly, MS, RPAC is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 878-7000.

NPI 1598751455Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1598751455
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
September 26, 2005
Last Updated
April 24, 2014

Practice Location

  • 219 Bryant St
  • Dept Of Neonatology
  • Buffalo, NY 14222-2006

Phone: (716) 878-7000

Mailing Address

  • 108 Colonial Ave
  • Kenmore, NY 14217-1156

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1598751455
Entity Type
Individual
Last Name
Connelly
First Name
Lara
Middle Name
A
Name Prefix
Mrs.
Credential
MS, RPAC
Mailing Street Address
108 Colonial Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1156
Mailing Country
US
Mailing Phone
(716) 523-2090
Practice Street Address
219 Bryant St
Practice Address Line 2
Dept Of Neonatology
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7000
Enumeration Date
September 26, 2005
Last Updated
April 24, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)