National Provider Identifier

Lisa Ann Gardner, PA-C

Lisa Ann Gardner, 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) 275-5321.

NPI 1093131690Rochester, NYPhysician Assistant

Profile Overview

NPI
1093131690
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 07, 2014
Last Updated
March 21, 2023

Practice Location

  • 4901 Lac De Ville Blvd
  • Rochester, NY 14618-5647

Phone: (585) 275-5321

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

Endpoints

  • lfitzpatrick42985@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1093131690
Entity Type
Individual
Last Name
Gardner
First Name
Lisa
Middle Name
Ann
Name Prefix
Mrs.
Credential
PA-C
Mailing Street Address
4901 Lac De Ville Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5647
Mailing Country
US
Mailing Phone
(585) 275-5321
Practice Street Address
4901 Lac De Ville Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5647
Practice Country
US
Practice Phone
(585) 275-5321
Enumeration Date
March 07, 2014
Last Updated
March 21, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)