National Provider Identifier

Laura Lynn Hagadorn

Laura Lynn Hagadorn is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 368-6900.

NPI 1932763968Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1932763968
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 25, 2019
Last Updated
April 25, 2019

Practice Location

  • 81 Lake Ave
  • Rochester, NY 14608-1410

Phone: (585) 368-6900

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1932763968
Entity Type
Individual
Last Name
Hagadorn
First Name
Laura
Middle Name
Lynn
Provider Other Last Name
Ryfun
Provider Other First Name
Laura
Provider Other Middle Name
Lynn
Provider Other Last Name Type Code
1
Mailing Street Address
81 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Mailing Phone
(585) 368-6900
Mailing Fax
(585) 546-5806
Practice Street Address
81 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6900
Practice Fax
(585) 546-5806
Enumeration Date
April 25, 2019
Last Updated
April 25, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)