Lisa M Nobles PA

NPI 1083620512 - Physician Assistant - 363A00000X

NPI Details
NPI 1083620512
Gender Female
Enumeration Date 08/01/2006
Last Updated 06/15/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
125 RED CREEK DR
SUITE 205
ROCHESTER NY, 14623-4272, US
Phone (585) 321-0340
Fax (585) 334-6373
Business Location
100 KINGS HWY S
ROCHESTER NY, 14617-5504, US
Phone (585) 922-1900
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 003157
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According to our database, Lisa M Nobles PA NPI is 1083620512, taxonomy code is 363A00000X and license number is 003157, license state is located at New York. Lisa M Nobles PA physically located at 125 Red Creek Dr, Rochester NY, 14623-4272. NPI Number Lisa M Nobles PA has the Individual type.

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1083620512 NPI number is provided on an as is basis without warranty of any kind. 1083620512 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa M Nobles PA are for informational purposes only.