Individual
LISA COULOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20 SEA VIEW AVE, 20 SEA VIEW AVE, ROCHESTER, NY 14622-1546
(585) 490-8018
Mailing address
20 SEA VIEW AVE, 20 SEA VIEW AVE, ROCHESTER, NY 14622-1546
(585) 490-8018
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
6300951
NY
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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