Individual
LISA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 PRINCE ST STE 3001, ROCHESTER, NY 14607-1023
(585) 602-0720
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 585-6020
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
000000
NY
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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