National Provider Identifier
Lawrence P Dirisio, RPA C
Lawrence P Dirisio, RPA C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 247-0070.
Profile Overview
- NPI
- 1336184332
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 17, 2006
- Last Updated
- May 27, 2014
Practice Location
- 2115 Chili Ave
- Rochester, NY 14624-3425
Phone: (585) 247-0070
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1336184332
- Entity Type
- Individual
- Last Name
- Dirisio
- First Name
- Lawrence
- Middle Name
- P
- Name Prefix
- Mr.
- Credential
- RPA C
- Mailing Street Address
- 2115 Chili Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3425
- Mailing Country
- US
- Mailing Phone
- (585) 247-0070
- Mailing Fax
- (585) 247-0075
- Practice Street Address
- 2115 Chili Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3425
- Practice Country
- US
- Practice Phone
- (585) 247-0070
- Practice Fax
- (585) 247-0075
- Enumeration Date
- June 17, 2006
- Last Updated
- May 27, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)