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Individual

LISA ROLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5245
(631) 425-0140
Mailing address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5245

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
242572
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02962527
NY
Enumeration date
11/07/2007
Last updated
10/16/2012
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