Organization
LISA D BEERS
Active
Organization
LISA D BEERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA D BEERS RN (NURSE)
(607) 865-4623
Entity
Organization
Contact information
Practice address
7949 STATE HWY 206, TROUT CREEK, NY 13847-0113
(607) 865-4623
Mailing address
PO BOX 113, TROUT CREEK, NY 13847-0113
(607) 865-4623
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
526521-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02569675
—
NY
Enumeration date
07/19/2007
Last updated
07/19/2007
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