Individual
DR. LISA MARIE SLIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LOCKWOOD DR, SUITE 210, PITTSFORD, NY 14534-3755
(585) 586-0240
(585) 586-0261
Mailing address
601 ELMWOOD AVE, BOX: PSYCH, ROCHESTER, NY 14641-0001
(585) 586-0240
(585) 276-0161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165093
—
NY
01
—
106837EU
PREFERRED CARE
NY
01
—
141939338
TAX ID
NY
Enumeration date
05/02/2006
Last updated
07/05/2023
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