Provider Demographics
NPI:1477807766
Name:DUTREMBLE, LAURA (DVM)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:DUTREMBLE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-6503
Mailing Address - Country:US
Mailing Address - Phone:585-441-0200
Mailing Address - Fax:
Practice Address - Street 1:67 NORTH AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-3007
Practice Address - Country:US
Practice Address - Phone:585-872-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012040174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian