Individual
DR. LISA HANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, RSA, RPA
Contact information
Practice address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
Mailing address
3 WORTHINGTON LN, LANCASTER, NY 14086-9391
(716) 523-6849
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
000166
NY
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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