| Doctor Name: | LAUREN N O'MEAL |
| NPI Number: | 1073834115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPP |
| License Number: | 565864 |
| Business Practice Address: | 441 Penbrooke Drive Suite 10 Penfield, NY - 14526 |
| Business Phone Number: | 5853686700 |
| Business Fax Number: | |
| Mailing Address: | 441 Penbrooke Drive, Suite 10 PENFIELD |
| State: | NY |
| Postal Code: | 14526 |
| Phone Number: | 5853886000 |
| Fax Number: | 5853886004 |
| NPI Enumeration Date: | 06/11/2010 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 565864 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |