MEDICARE: MRS. LAURA LEE OHEARN LPN

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
1	164W00000X	Licensed Practical Nurse	2660671	NY

General Provider Information

NPI Number	:	1518160449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA LEE OHEARN LPN

Provider Business Mailing Address
First Line	:	303 WEST BANK SE
Second Line	:	APT #2
City	:	ALBION
State	:	NY
Zip	:	14411
Country	:	US
Telephone Number	:	585-283-4202
Fax Number	:

Provider Business Practice Location Address
First Line	:	4618 OAK ORCHARD RD
Second Line	:
City	:	ALBION
State	:	NY
Zip	:	14411
Country	:	US
Telephone Number	:	585-589-0576
Fax Number	:	585-589-7845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	02/22/2026

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