Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 10213 | NH |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 186886-1 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD20782 | ME |
NPI | 1316960057 |
---|---|
Provider Name | Michele Renee Lauria |
First Address | Buffalo, NY 14222-1205 |
Second Address | Buffalo, NY 14202-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0RE4682 | (05) | VT |
30011072 | (05) | NH |