Provider Demographics
NPI:1437611316
Name:FISCHER, LAURIE J (LPN)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:J
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:J
Other - Last Name:BLATTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:32 A FORTUNE VALLEY LANE
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477
Mailing Address - Country:US
Mailing Address - Phone:845-332-4773
Mailing Address - Fax:845-246-1821
Practice Address - Street 1:32A FORTUNE VALLEY LN
Practice Address - Street 2:
Practice Address - City:SAUGHERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477
Practice Address - Country:US
Practice Address - Phone:845-332-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241993164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse