Individual
MRS. LISA MARIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5200
(315) 787-5221
Mailing address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5200
(315) 787-5221
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382288
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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