National Provider Identifier
Lisa M Killian, RN CCM
Lisa M Killian, RN CCM is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 865-3046.
Profile Overview
- NPI
- 1164620373
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- July 10, 2007
- Last Updated
- July 10, 2007
Practice Location
- 112 Willowbrook RD
- Rochester, NY 14616
Phone: (585) 865-3046
Mailing Address
- 87 Blue Ridge RD
- Penfield, NY 14526
Specialties
- Registered Nurse (163W00000X)
- Case Management Registered Nurse (163WC0400X)
- Occupational Health Registered Nurse (163WX0106X)
Full Record
- NPI
- 1164620373
- Entity Type
- Individual
- Last Name
- Killian
- First Name
- Lisa
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- RN CCM
- Mailing Street Address
- 87 Blue Ridge RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526
- Mailing Country
- US
- Mailing Phone
- (585) 298-1544
- Practice Street Address
- 112 Willowbrook RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616
- Practice Country
- US
- Practice Phone
- (585) 865-3046
- Enumeration Date
- July 10, 2007
- Last Updated
- July 10, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Case Management Registered Nurse (163WC0400X), Occupational Health Registered Nurse (163WX0106X)
- Other Identifiers
- 02679596 (NY)