Individual
LIZANDRA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
181 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 498-5430
(315) 299-5138
Mailing address
181 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 498-5430
(315) 299-5138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347321
NY
Other
Enumeration date
02/09/2019
Last updated
09/21/2021
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