Provider Demographics
NPI:1205236775
Name:MAJOR, LAURA JEAN (LPN)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JEAN
Last Name:MAJOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 S. MAIN ST BOX 99
Mailing Address - Street 2:APT 17C
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-3026
Mailing Address - Country:US
Mailing Address - Phone:585-472-1236
Mailing Address - Fax:
Practice Address - Street 1:460 S. MAIN ST BOX 99
Practice Address - Street 2:APT 17C
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-3026
Practice Address - Country:US
Practice Address - Phone:585-472-1236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230758164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse