Organization
LISBON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNIE STERLING COUGLER FNP-C (FNP-C)
(315) 393-3227
Entity
Organization
Contact information
Practice address
7016 COUNTY ROUTE 10, LISBON, NY 13658-0176
(315) 393-3227
(315) 393-1322
Mailing address
PO BOX 176, 7016 COUNTY ROUTE 10, LISBON, NY 13658-0176
(315) 393-3227
(315) 393-1322
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
337996
NY
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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