Provider Demographics
NPI:1255841136
Name:FIELD, LAURA LEE
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LEE
Last Name:FIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 LANGDON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1424
Mailing Address - Country:US
Mailing Address - Phone:516-361-9400
Mailing Address - Fax:
Practice Address - Street 1:1124 LANGDON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1424
Practice Address - Country:US
Practice Address - Phone:516-361-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist