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Lisa Wilson

NPI 1215770003 · on the registry since 2024 · sole proprietor

Practice

Address
61 Daisy St
Patchogue, NY 11772
Phone
(631) 681-7855

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York