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Individual
LISA L WOLNIAK
Active
Individual
LISA L WOLNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006670
NY
363A00000X
Physician Assistant
006670-1
NY
Other
Enumeration date
11/17/2006
Last updated
05/26/2022
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