Tracy Lynne Lis N.P.

NPI 1225242415 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1225242415
Gender Female
Enumeration Date 05/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 HIGH ST
C-368
BUFFALO NY, 14203-1126, US
Phone (716) 859-2242
Fax (716) 859-2885
Business Location
100 HIGH ST
C-368
BUFFALO NY, 14203-1126, US
Phone (716) 859-2242
Fax (716) 859-2885
Toxanomy
Taxonomy Code 363LA2100X
License State New York
License Number 301389
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According to our database, Ms. Tracy Lynne Lis N.P. NPI is 1225242415, taxonomy code is 363LA2100X and license number is 301389, license state is located at New York. Tracy Lynne Lis N.P. physically located at 100 High St, Buffalo NY, 14203-1126. NPI Number Tracy Lynne Lis N.P. has the Individual type.

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1225242415 NPI number is provided on an as is basis without warranty of any kind. 1225242415 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Lynne Lis N.P. are for informational purposes only.