National Provider Identifier
Lisa Nicole Fronczak, PA-C
Lisa Nicole Fronczak, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1003197112
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 01, 2011
- Last Updated
- May 13, 2025
Practice Location
- 1425 Portland Ave
- Box 362
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1003197112
- Entity Type
- Individual
- Last Name
- Fronczak
- First Name
- Lisa
- Middle Name
- Nicole
- Credential
- PA-C
- Mailing Street Address
- 1425 Portland Ave
- Mailing Address Line 2
- Box 362
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Box 362
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- September 01, 2011
- Last Updated
- May 13, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 13, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 03548258 (NY), J400086710 (NY, Medicare Ptan)