Individual
LISA GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
(585) 335-2296
Mailing address
601 ELMWOOD AVE BOX 668, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001703
NY
367A00000X
Advanced Practice Midwife
APRN11020189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04272184
—
NY
Enumeration date
09/14/2015
Last updated
10/28/2024
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