Individual
LISA J. ISABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5100 W TAFT RD, LIVERPOOL, NY 13088-3807
(315) 452-2828
Mailing address
5100 W TAFT RD, LIVERPOOL, NY 13088-3807
(315) 452-2828
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F338779
NY
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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