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Individual

LISA M AUGOSTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2593
(585) 275-3683
Mailing address
601 ELMWOOD AVE, BOX 631, ROCHESTER, NY 14642-0001
(585) 275-2593

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
380635
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380635
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02803029
NY
Enumeration date
07/31/2006
Last updated
07/05/2023
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