Individual
LISA Y CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2141
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
318959
NY
207L00000X
Anesthesiology Physician
EL03581
NH
207R00000X
Internal Medicine Physician
318959
NY
Other
Enumeration date
07/14/2010
Last updated
07/22/2023
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