Individual
MRS. LISA KAY GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 STATE ST, OGDENSBURG, NY 13669-3352
(315) 393-0900
Mailing address
1100 STATE ST, OGDENSBURG, NY 13669-3352
(315) 393-0900
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
575006-1
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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