National Provider Identifier

Lisa M Nobles, PA

Lisa M Nobles, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 321-0340.

NPI 1083620512Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1083620512
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 01, 2006
Last Updated
June 15, 2016

Practice Location

  • 125 Red Creek Dr
  • Suite 205
  • Rochester, NY 14623-4272

Phone: (585) 321-0340

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1083620512
Entity Type
Individual
Last Name
Nobles
First Name
Lisa
Middle Name
M
Credential
PA
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-1900
Mailing Fax
(585) 922-0636
Practice Street Address
125 Red Creek Dr
Practice Address Line 2
Suite 205
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4272
Practice Country
US
Practice Phone
(585) 321-0340
Practice Fax
(585) 334-6373
Enumeration Date
August 01, 2006
Last Updated
June 15, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
03209294 (NY)