Individual provider · Type 1 NPI

Lara K. Ogundiran, NP

Pediatric Nurse Practitioner · Liverpool, NY

NPI number 1386909786 Active

Practice location

4811 Buckley Rd
Liverpool, NY 13088-3629

Fax (315) 457-9854

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382296-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386909786

Lara K. Ogundiran, NP's National Provider Identifier is 1386909786, issued on Jul 11, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Liverpool, NY. The record was last updated on Jul 11, 2012.