Provider Demographics
NPI:1023358769
Name:SPRATT, LAURA J
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:SPRATT
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 1:3434 CARMAN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5348
Mailing Address - Country:US
Mailing Address - Phone:518-688-1490
Mailing Address - Fax:518-688-1490
Practice Address - Street 1:3434 CARMAN RD STE 109
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5348
Practice Address - Country:US
Practice Address - Phone:518-688-1490
Practice Address - Fax:518-688-1490
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information