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Contact Information

LAURI A FAIRBANKS DOANE, DO
8100 OSWEGO ROAD
SUITE 220
LIVERPOOL, NY13090
 Phone: 315-652-6551
 Fax: 315-652-9698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LAURI A FAIRBANKS DOANE · (Female)

NPI # 1164597498
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/21/2006
Last updated 05/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 197300
  • NY Medicaid 01918827
  • Other 960897 MVP HEALTHCARE INSURER
  • Other 080178302 RAILROAD MEDICARE
Hospital affiliation(s)
  • CROUSE HOSPITAL - (Acute Care)
    736 IRVING AVENUE
    SYRACUSE, NY 13210
  • OSWEGO HOSPITAL - (Acute Care)
    110 WEST SIXTH STREET
    OSWEGO, NY 13126
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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