Lisa M Killian RN CCM

NPI 1164620373 - Registered Nurse - 163WC0400X

NPI Details
NPI 1164620373
Gender Female
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
112 WILLOWBROOK RD
ROCHESTER NY, 14616, US
Phone (585) 865-3046
Fax
Business Location
87 BLUE RIDGE RD
PENFIELD NY, 14526, US
Phone (585) 298-1544
Fax
Toxanomy
Taxonomy Code 163WC0400X
License State New York
License Number 4245201
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According to our database, Ms. Lisa M Killian RN CCM NPI is 1164620373, taxonomy code is 163WC0400X and license number is 4245201, license state is located at New York. Lisa M Killian RN CCM physically located at 112 Willowbrook Rd, Rochester NY, 14616. NPI Number Lisa M Killian RN CCM has the Individual type.

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1164620373 NPI number is provided on an as is basis without warranty of any kind. 1164620373 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Killian RN CCM are for informational purposes only.