Laurel Fanning
Laurel Fanning is a Specialist in Wantagh, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
744 Francis DrWantagh, NY 11793-1039
Phone: (516) 238-4811
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 442037 (NY) |
|---|
Record details
| NPI number | 1952790453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2015 |
| Last updated in NPPES | January 21, 2015 |
| Mailing address | 744 Francis Dr, Wantagh, NY 11793-1039 |
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