Individual
LISA M GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
132-03 SANFORD AVENUE # 1C, FLUSHING, NY 11355
(718) 961-8881
(718) 961-4333
Mailing address
132-03 SANFORD AVENUE # 1C, FLUSHING, NY 11355
(718) 961-8881
(718) 961-4333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381836
NY
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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