Individual
LISA A DEMARCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
736 IRVING AVE, CROUSE RADIOLOGY ASSOCIATES, LLP, SYRACUSE, NY 13210-1687
(315) 470-7551
(315) 470-2719
Mailing address
PO BOX 2004, CROUSE RADIOLOGY ASSOCIATES, LLP, EAST SYRACUSE, NY 13057-4504
(315) 470-7551
(315) 470-2719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011612
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/23/2006
Last updated
08/15/2016
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