Individual
MS. LISA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7002
Mailing address
11934 232ND ST, CAMBRIA HEIGHTS, NY 11411-2224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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