Individual
MRS. LISA ANN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 VIRGINIA DR, ALDEN, NY 14004-9564
(716) 937-6049
Mailing address
910 VIRGINIA DR, ALDEN, NY 14004-9564
(716) 937-6049
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
171W00000X
Contractor
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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