National Provider Identifier
Lisa Proctor, NP
Lisa Proctor, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 252-3590.
Profile Overview
- NPI
- 1114143419
- Provider Type
- Individual
- Primary Specialty
- Acute Care Nurse Practitioner
- Enumeration Date
- April 17, 2007
- Last Updated
- February 21, 2011
Practice Location
- 310 Taughannock Blvd
- Ithaca, NY 14850-3251
Phone: (607) 252-3590
Mailing Address
- 110 Vanwoert RD
- Spencer, NY 14883-9721
Specialties
- Acute Care Nurse Practitioner (363LA2100X)
Full Record
- NPI
- 1114143419
- Entity Type
- Individual
- Last Name
- Proctor
- First Name
- Lisa
- Credential
- NP
- Mailing Street Address
- 110 Vanwoert RD
- Mailing City
- Spencer
- Mailing State
- NY
- Mailing ZIP Code
- 14883-9721
- Mailing Country
- US
- Mailing Phone
- (607) 589-6826
- Practice Street Address
- 310 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 252-3590
- Enumeration Date
- April 17, 2007
- Last Updated
- February 21, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acute Care Nurse Practitioner (363LA2100X)