Individual
MRS. LISA SUZANNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
4949 HARLEM RD, UNIVERSITY ORTHOPAEDICS, AMHERST, NY 14226-2500
(716) 204-3251
(716) 891-2032
Mailing address
12 BRIARHILL RD, WILLIAMSVILLE, NY 14221-1807
(716) 636-7909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006448
LICENSE
NY
05
—
01893672
—
NY
Enumeration date
10/10/2005
Last updated
03/07/2023
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