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Individual

LISA ACOSTA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RPAC

Contact information

Practice address
INTERLAKES ONCOLOGY & HEMATOLOGY PC, 211 WHITE SPRUCE BLVD., ROCHESTER, NY 14623
(585) 475-8728
(585) 475-9411
Mailing address
INTERLAKES ONCOLOGY & HEMATOLOGY PC, 211 WHITE SPRUCE BLVD., ROCHESTER, NY 14623
(585) 475-8728
(585) 475-9411

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003206-1
NY
363AM0700X
Medical Physician Assistant
3206
NY

Other

Enumeration date
03/17/2006
Last updated
03/21/2023
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