Individual
MRS. LISA RUFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
53 GANNON RD, BUSKIRK, NY 12028-2004
(518) 878-5238
Mailing address
53 GANNON RD, BUSKIRK, NY 12028-2004
(518) 878-5238
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-58667
NY
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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