Individual
LISA ANNE CHUDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 MEAD ST, NORTH TONAWANDA, NY 14120-4444
(716) 204-5925
(716) 815-6926
Mailing address
87 MEAD ST, NORTH TONAWANDA, NY 14120-4444
(716) 204-5925
(716) 815-6926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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