Individual
LISA J FINKELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO FACOS
Contact information
Practice address
555 E BROADWAY AVE STE 229, JACKSON, WY 83001-8640
(307) 739-7690
(307) 739-7644
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(077) 397-6903
(307) 739-7644
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6840 A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118828300
—
WY
Enumeration date
08/16/2006
Last updated
02/24/2021
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