Mansfield, Laurie Delores Marie

Mansfield, Laurie Delores Marie is an sole proprietor health care provider with primary practice located at 90 Hideaway Ln , Brockport NY 14420-9365. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Nursing Service Providers / Pediatrics. Nursing Service Providers / Neonatal Intensive Care is her primary health care specialty. Mansfield, Laurie Delores Marie can be contacted via phone (585) 392-5190.

Contact Information

Primary practice address
90 Hideaway Ln Brockport NY 14420-9365
Phone: (585) 392-5190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 515392 New York
Nursing Service Providers / Pediatrics 163WP0200X 515392 New York

Profile Details

NPI number 1497954861
LBN Legal business name Mansfield, Laurie Delores Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497954861 NPPES
New York MEDICAID 02065209

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