Individual
MRS. LISA CHRISTINE CONDEFER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
88 TIOGA AVE, SUITE 102, CORNING, NY 14870
(607) 684-6115
(607) 684-6120
Mailing address
88 TIOGA AVE., SUITE 102, CORNING, NY 14870
(607) 684-6115
(607) 684-6120
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380998-1
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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