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Individual

LISA MARIE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
140 GIDDINGS TRL, BALDWINSVILLE, NY 13027-8671
(315) 382-0152

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
707203
NY

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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