National Provider Identifier

Lisa Ann Spencer

Lisa Ann Spencer is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 733-4504.

NPI 1518488824Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1518488824
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 28, 2017
Last Updated
June 28, 2017

Practice Location

  • 1300 College Ave
  • Elmira, NY 14901-1154

Phone: (607) 733-4504

Mailing Address

  • 426 Wygant RD
  • Horseheads, NY 14845-1636

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1518488824
Entity Type
Individual
Last Name
Spencer
First Name
Lisa
Middle Name
Ann
Mailing Street Address
426 Wygant RD
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1636
Mailing Country
US
Mailing Phone
(607) 302-0762
Practice Street Address
1300 College Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1154
Practice Country
US
Practice Phone
(607) 733-4504
Practice Fax
(607) 733-5272
Enumeration Date
June 28, 2017
Last Updated
June 28, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)