National Provider Identifier
Lisa Marie Prober
Lisa Marie Prober is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Clyde, NY and a listed phone number of (315) 730-8625.
Profile Overview
- NPI
- 1043590383
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 18, 2011
- Last Updated
- August 18, 2011
Practice Location
- 46 Duncan St
- Clyde, NY 14433-1029
Phone: (315) 730-8625
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1043590383
- Entity Type
- Individual
- Last Name
- Prober
- First Name
- Lisa
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Mailing Street Address
- 46 Duncan St
- Mailing City
- Clyde
- Mailing State
- NY
- Mailing ZIP Code
- 14433-1029
- Mailing Country
- US
- Mailing Phone
- (315) 730-8625
- Practice Street Address
- 46 Duncan St
- Practice City
- Clyde
- Practice State
- NY
- Practice ZIP Code
- 14433-1029
- Practice Country
- US
- Practice Phone
- (315) 730-8625
- Enumeration Date
- August 18, 2011
- Last Updated
- August 18, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)