Individual
LISA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
Mailing address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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