National Provider Identifier
Lisa Didomenico
Lisa Didomenico is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 385-6287.
Profile Overview
- NPI
- 1609532639
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 15, 2021
- Last Updated
- November 16, 2021
Practice Location
- 700 Lac De Ville Blvd
- Rochester, NY 14618-5665
Phone: (585) 385-6287
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1609532639
- Entity Type
- Individual
- Last Name
- Didomenico
- First Name
- Lisa
- Mailing Street Address
- 700 Lac De Ville Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5665
- Mailing Country
- US
- Mailing Phone
- (585) 385-6287
- Practice Street Address
- 700 Lac De Ville Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5665
- Practice Country
- US
- Practice Phone
- (585) 385-6287
- Practice Fax
- (585) 383-0033
- Enumeration Date
- November 15, 2021
- Last Updated
- November 16, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)