National Provider Identifier
Lisa Anne Main
Lisa Anne Main is listed in the NPPES registry with a primary specialty of Massage Therapist in Leroy, NY and a listed phone number of (585) 768-1980.
Profile Overview
- NPI
- 1013034305
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 23, 2007
- Last Updated
- July 08, 2007
Practice Location
- 15 Bank St
- Leroy, NY 14482
Phone: (585) 768-1980
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1013034305
- Entity Type
- Individual
- Last Name
- Main
- First Name
- Lisa
- Middle Name
- Anne
- Mailing Street Address
- 15 Bank St
- Mailing City
- Leroy
- Mailing State
- NY
- Mailing ZIP Code
- 14482
- Mailing Country
- US
- Mailing Phone
- (585) 768-1980
- Practice Street Address
- 15 Bank St
- Practice City
- Leroy
- Practice State
- NY
- Practice ZIP Code
- 14482
- Practice Country
- US
- Practice Phone
- (585) 768-1980
- Enumeration Date
- March 23, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)