National Provider Identifier

Lisa Anne Diehl

Lisa Anne Diehl is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 697-1557.

NPI 1619239415Rochester, NYSpecialist

Profile Overview

NPI
1619239415
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 08, 2012
Last Updated
June 08, 2012

Practice Location

  • 1870 Winton RD S
  • Rochester, NY 14618-3960

Phone: (585) 697-1557

Mailing Address

  • 1511 Chigwell Ln S
  • Webster, NY 14580-8555

Specialties

  • Specialist (174400000X)
Full Record
NPI
1619239415
Entity Type
Individual
Last Name
Diehl
First Name
Lisa
Middle Name
Anne
Mailing Street Address
1511 Chigwell Ln S
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-8555
Mailing Country
US
Practice Street Address
1870 Winton RD S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3960
Practice Country
US
Practice Phone
(585) 697-1557
Practice Fax
(585) 697-5692
Enumeration Date
June 08, 2012
Last Updated
June 08, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)