Individual
DR. LISA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3101 RIDGE RD W, BUILDING C, ROCHESTER, NY 14626-3249
(585) 225-1700
(585) 225-1439
Mailing address
3101 RIDGE RD W, BUILDING C, ROCHESTER, NY 14626-3249
(585) 225-1700
(585) 225-1439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207226
NY
208000000X
Pediatrics Physician
Primary
207226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01985991
—
NY
Enumeration date
01/12/2007
Last updated
07/05/2023
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