Individual
HEATHER LOBRUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6341 RIDGE RD, SODUS, NY 14551-9743
(315) 483-1199
Mailing address
601B W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 787-8151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405210
NY
Other
Enumeration date
09/08/2023
Last updated
02/20/2026
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