Individual
LISA COLASANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W COURT ST, ROME, NY 13440-3139
(315) 527-7129
Mailing address
711 W COURT ST, ROME, NY 13440-3139
(315) 527-7129
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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