Provider Demographics
NPI:1427356575
Name:MAJOR, LAURA MAE (LPN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MAE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1972
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0270
Mailing Address - Country:US
Mailing Address - Phone:518-572-6694
Mailing Address - Fax:
Practice Address - Street 1:6770 STATE ROUTE 22
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-4913
Practice Address - Country:US
Practice Address - Phone:518-572-6694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10 281716164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1427356575OtherNPI