Individual
LISA M NOBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 RED CREEK DR, SUITE 205, ROCHESTER, NY 14623-4272
(585) 321-0340
(585) 334-6373
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
(585) 922-0636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03209294
—
NY
Enumeration date
08/01/2006
Last updated
06/15/2016
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