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.

NPI 1003197112Rochester, NYPhysician Assistant

Source: public NPPES record, last updated May 13, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)