National Provider Identifier

Lisa Siripun, M.D.

Lisa Siripun, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-1128.

NPI 1164620050Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1164620050
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
July 03, 2007
Last Updated
December 15, 2021

Practice Location

  • 601 Elmwood Ave
  • Box 648
  • Rochester, NY 14642-8648

Phone: (585) 275-1128

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq

    Soap Url | Health Information Exchange (Hie) | Other | The Permanente Medical Group | Sacramento, CA 95825

    Carequality

Full Record
NPI
1164620050
Entity Type
Individual
Last Name
Siripun
First Name
Lisa
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 648
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8648
Mailing Country
US
Mailing Phone
(585) 275-1128
Mailing Fax
(585) 273-3549
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 648
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-8648
Practice Country
US
Practice Phone
(585) 275-1128
Practice Fax
(585) 273-3549
Enumeration Date
July 03, 2007
Last Updated
December 15, 2021
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)