Individual
DR. LISA ANN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 CORNELIA ST STE 203, PLATTSBURGH, NY 12901-2306
(518) 561-6410
Mailing address
214 CORNELIA ST STE 203, PLATTSBURGH, NY 12901-2306
(518) 561-6410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
231884
MA
Other
Enumeration date
05/22/2007
Last updated
07/31/2009
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