Individual
LISA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 MILLICENT AVE., BUFFALO, NY 14215
(716) 846-9820
Mailing address
255 MILLICENT AVE, BUFFALO, NY 14215-2984
(716) 846-9820
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
460926
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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