Provider Demographics
NPI:1801100441
Name:HARTINGER, LAURA LEE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEE
Last Name:HARTINGER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12826 CAYUGA DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:NY
Mailing Address - Zip Code:14081-9691
Mailing Address - Country:US
Mailing Address - Phone:716-934-3164
Mailing Address - Fax:716-934-7254
Practice Address - Street 1:12826 CAYUGA DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081-9691
Practice Address - Country:US
Practice Address - Phone:716-934-3164
Practice Address - Fax:716-934-7254
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY444045-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health