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NPI Code Detail

MEDICARE: LAUREN KERR

MEDICARE:   LAUREN  KERR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse294329-1NY

General Provider Information

NPI Number : 1306268149
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN KERR
Provider Business Mailing Address
First Line : 3 BURLINGTON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-2007
Country : US
Telephone Number : 585-350-5686
Fax Number :
Provider Business Practice Location Address
First Line : 3 BURLINGTON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-2007
Country : US
Telephone Number : 585-350-5686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2014
Last Update Date : 01/14/2014

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Directions to “ LAUREN KERR ” Practice Location

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