Individual
LISA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
268 W MAIN ST STE 2, FREDONIA, NY 14063-2200
(716) 672-2000
(716) 672-4414
Mailing address
797 KING RD, FORESTVILLE, NY 14062-9780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306219
NY
Other
Enumeration date
01/10/2013
Last updated
06/18/2024
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