Individual
LISA HEITMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-6412
(315) 568-6718
Mailing address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-6412
(315) 568-6718
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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