Individual
MRS. LISA PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CATHERINE ST, FORT ANN, NY 12827-5039
(518) 639-5594
(518) 639-8911
Mailing address
1 CATHERINE ST, FORT ANN, NY 12827-5039
(518) 639-5594
(518) 639-8911
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
563221-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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