National Provider Identifier

Lisa Rae Luxemberg

Lisa Rae Luxemberg is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 275-2986.

NPI 1073248621Rochester, NYSocial Worker

Profile Overview

NPI
1073248621
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 19, 2022
Last Updated
July 19, 2022

Practice Location

  • 200 E River RD
  • Rochester, NY 14623-1212

Phone: (585) 275-2986

Mailing Address

  • 601 Elmwood Ave Box 278877
  • Rochester, NY 14642-0001

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1073248621
Entity Type
Individual
Last Name
Luxemberg
First Name
Lisa
Middle Name
Rae
Name Prefix
Mrs.
Mailing Street Address
601 Elmwood Ave Box 278877
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-2986
Mailing Fax
(585) 742-4217
Practice Street Address
200 E River RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1212
Practice Country
US
Practice Phone
(585) 275-2986
Practice Fax
(585) 742-4217
Enumeration Date
July 19, 2022
Last Updated
July 19, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 18, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)