Provider Demographics
NPI:1427291467
Name:SCHOENFELDT, LAURETTA (RN,BSN)
Entity type:Individual
Prefix:
First Name:LAURETTA
Middle Name:
Last Name:SCHOENFELDT
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5467 UPPER MOUNTAIN RD.
Mailing Address - Street 2:SUITE #100
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1894
Mailing Address - Country:US
Mailing Address - Phone:716-439-7470
Mailing Address - Fax:716-439-7483
Practice Address - Street 1:5467 UPPER MOUNTAIN RD.
Practice Address - Street 2:SUITE #100
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1894
Practice Address - Country:US
Practice Address - Phone:716-439-7470
Practice Address - Fax:716-439-7483
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY361464-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health