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Organization
LISBON MEDICAL GROUP
Active
Organization
LISBON MEDICAL GROUP
Active
Parent organization
LISBON MEDICAL GROUP
Other names
Lisbon Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISBON MEDICAL GROUP
Authorized official
MR. ALAN J WINNEY PA (PHYSICIAN ASSISTANT)
(315) 393-3227
Entity
Organization
Contact information
Practice address
7016 CTY RT 10, LISBON, NY 13658-0176
(315) 393-3227
(315) 393-1322
Mailing address
PO BOX 176, 7016 CTY RT 10, LISBON, NY 13658-0176
(315) 393-3227
(315) 393-1322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000374
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637903
—
NY
Enumeration date
09/28/2007
Last updated
09/28/2007
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