National Provider Identifier
Lisa Hanavan, ED.D, RSA, RPA
Lisa Hanavan, ED.D, RSA, RPA is listed in the NPPES registry with a primary specialty of Radiology Practitioner Assistant in Hamburg, NY and a listed phone number of (716) 649-9000.
Profile Overview
- NPI
- 1528795333
- Provider Type
- Individual
- Primary Specialty
- Radiology Practitioner Assistant
- Enumeration Date
- August 02, 2022
- Last Updated
- August 02, 2022
Practice Location
- 3040 Amsdell RD
- Hamburg, NY 14075-5835
Phone: (716) 649-9000
Mailing Address
- 3 Worthington Ln
- Lancaster, NY 14086-9391
Specialties
- Radiology Practitioner Assistant (243U00000X)
Full Record
- NPI
- 1528795333
- Entity Type
- Individual
- Last Name
- Hanavan
- First Name
- Lisa
- Name Prefix
- Dr.
- Credential
- ED.D, RSA, RPA
- Mailing Street Address
- 3 Worthington Ln
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9391
- Mailing Country
- US
- Mailing Phone
- (716) 523-6849
- Practice Street Address
- 3040 Amsdell RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-5835
- Practice Country
- US
- Practice Phone
- (716) 649-9000
- Enumeration Date
- August 02, 2022
- Last Updated
- August 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 02, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Radiology Practitioner Assistant (243U00000X)