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Individual

LISA M WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3024 NIAGARA FALLS BLVD STE 116, NORTH TONAWANDA, NY 14120-1116
(716) 217-4321
(716) 219-2469
Mailing address
3024 NIAGARA FALLS BLVD STE 116, NORTH TONAWANDA, NY 14120-1116
(716) 217-4321
(716) 219-2469

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304201
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000560977002
BC/BS
NY
05
02740985
NY
Enumeration date
01/17/2008
Last updated
03/07/2023
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