Healthcare Provider Details

I. General information

NPI: 1376829754
Provider Name (Legal Business Name): LURA CHRISTINE MUSCATO CD(DONA), LCCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 WHISTLERS COVE LN
ROCHESTER NY
14612-1460
US

IV. Provider business mailing address

928 WHISTLERS COVE LN
ROCHESTER NY
14612-1460
US

V. Phone/Fax

Practice location:
  • Phone: 585-576-0665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: