Doctor Name: | LAURIE JO PRACHER |
NPI Number: | 1588617047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | F330668 |
Business Practice Address: | 121 Legion Dr Cobleskill, NY - 120435111 |
Business Phone Number: | 5182342555 |
Business Fax Number: | 5182343415 |
Mailing Address: | Po Box 725, COOPERSTOWN |
State: | NY |
Postal Code: | 133260725 |
Phone Number: | 5182342555 |
Fax Number: | 5182343415 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F330668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |