Individual
LISA DUBE-WHITEHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2691
(585) 273-3359
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 275-0638
(585) 273-3359
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523595
—
NY
Enumeration date
06/22/2006
Last updated
08/26/2011
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