National Provider Identifier
Lisa Anne Chudoba
Lisa Anne Chudoba is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in North Tonawanda, NY and a listed phone number of (716) 204-5925.
Profile Overview
- NPI
- 1518603141
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 06, 2022
- Last Updated
- May 06, 2022
Practice Location
- 87 Mead St
- North Tonawanda, NY 14120-4444
Phone: (716) 204-5925
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1518603141
- Entity Type
- Individual
- Last Name
- Chudoba
- First Name
- Lisa
- Middle Name
- Anne
- Provider Other Last Name
- Dux
- Provider Other First Name
- Lisa
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 87 Mead St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4444
- Mailing Country
- US
- Mailing Phone
- (716) 204-5925
- Mailing Fax
- (716) 815-6926
- Practice Street Address
- 87 Mead St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4444
- Practice Country
- US
- Practice Phone
- (716) 204-5925
- Practice Fax
- (716) 815-6926
- Enumeration Date
- May 06, 2022
- Last Updated
- May 06, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)