National Provider Identifier

Laquonna Douglass

Laquonna Douglass is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 325-3145.

NPI 1780185538Rochester, NYPeer Specialist

Source: public NPPES record, last updated February 27, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1780185538
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
February 27, 2018
Last Updated
February 27, 2018

Practice Location

  • 320 N Goodman St
  • Rochester, NY 14607-1185

Phone: (585) 325-3145

Specialties

  • Peer Specialist (175T00000X)

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Full Record
NPI
1780185538
Entity Type
Individual
Last Name
Douglass
First Name
Laquonna
Mailing Street Address
320 N Goodman St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1185
Mailing Country
US
Mailing Phone
(585) 325-3145
Mailing Fax
(585) 442-7615
Practice Street Address
320 N Goodman St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1185
Practice Country
US
Practice Phone
(585) 325-3145
Practice Fax
(585) 442-7615
Enumeration Date
February 27, 2018
Last Updated
February 27, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)