Individual
MRS. LISA DOOLITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 JEFFERSON ST, PHOENIX, NY 13135-2333
(315) 349-7963
(315) 349-7696
Mailing address
348 LAKE RD, OSWEGO, NY 13126-5974
(315) 349-7963
(315) 349-7696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302052
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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