National Provider Identifier
Lisa Marie Lichak
Lisa Marie Lichak is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Geneva, NY and a listed phone number of (315) 789-6828.
Profile Overview
- NPI
- 1255587887
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 14, 2008
- Last Updated
- August 14, 2008
Practice Location
- 731 Pre Emption RD
- Geneva, NY 14456-1335
Phone: (315) 789-6828
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1255587887
- Entity Type
- Individual
- Last Name
- Lichak
- First Name
- Lisa
- Middle Name
- Marie
- Mailing Street Address
- 731 Pre Emption RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1335
- Mailing Country
- US
- Mailing Phone
- (315) 789-6828
- Practice Street Address
- 731 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1335
- Practice Country
- US
- Practice Phone
- (315) 789-6828
- Enumeration Date
- August 14, 2008
- Last Updated
- August 14, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)