Individual
LISA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 175-3158
Mailing address
4411 SHELLY RD, LIVONIA, NY 14487-9304
(585) 739-5682
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
602829
NY
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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