Individual
LISA M BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5765 PEASE RD, WILLIAMSON, NY 14589-9369
(585) 755-8953
Mailing address
5765 PEASE RD, WILLIAMSON, NY 14589-9369
(585) 755-8953
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
701781
NY
164W00000X
Licensed Practical Nurse
267696
NY
Other
Enumeration date
09/15/2008
Last updated
08/23/2019
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