Organization
INNOVATIVE CARE AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DAVIS WHEELER NP (OWNER)
(716) 217-4321
Entity
Organization
Contact information
Practice address
3024 NIAGARA FALLS BLVD STE 116, NORTH TONAWANDA, NY 14120-1116
(716) 217-4321
(716) 219-2469
Mailing address
2 RUNNING BROOK DRIVE, 2 RUNNING BROOK DRIVE, LANCASTER, NY 14086
(716) 864-6316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
01/18/2021
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