Individual
MRS. LISA SHANE LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
811 RIDGE RD, WEBSTER, NY 14580-2401
(585) 671-4660
(585) 671-4668
Mailing address
31 CROSSBOW DR, PENFIELD, NY 14526-9757
(585) 787-2765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
336301
NY
363L00000X
Nurse Practitioner
Primary
F336301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F336301
—
NY
Enumeration date
11/01/2010
Last updated
07/06/2023
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