Most Relevant Information
Provider Data
| NPI Number: | 1003065517 |
| Provider Name: | LAURA LORRAINE MCKENNA NNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F350142-01 |
Most Important Dates
| Enumeration Date: | 09/09/2008 |
| Last Updated: | 09/16/2022 |
Provider Practice Location
259 1ST ST
MINEOLA
NY
115013957
Practice Location Phone/Fax
| Phone: | 5166632406 |
| Fax: | 5166633759 |
Provider Mailing Location
259 1ST ST
MINEOLA
NY
115013957
Provider Mailing Phone/Fax
| Phone: | 5166632406 |
| Fax: | 5166633759 |