National Provider Identifier

Laura Dietz

Laura Dietz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Depew, NY and a listed phone number of (716) 348-8650.

NPI 1932871530Depew, NYLicensed Practical Nurse

Profile Overview

NPI
1932871530
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 01, 2021
Last Updated
October 01, 2021

Practice Location

  • 340 Bellevue Ave
  • Depew, NY 14043-3104

Phone: (716) 348-8650

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1932871530
Entity Type
Individual
Last Name
Dietz
First Name
Laura
Mailing Street Address
340 Bellevue Ave
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-3104
Mailing Country
US
Mailing Phone
(716) 348-8650
Practice Street Address
340 Bellevue Ave
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-3104
Practice Country
US
Practice Phone
(716) 348-8650
Enumeration Date
October 01, 2021
Last Updated
October 01, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)