National Provider Identifier

Lisa Kotyra, NP

Lisa Kotyra, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 273-3760.

NPI 1689770901Rochester, NYNurse Practitioner

Profile Overview

NPI
1689770901
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
September 15, 2006
Last Updated
August 26, 2011

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0002

Phone: (585) 273-3760

Mailing Address

  • 601 Elmwood Ave
  • Box 679B
  • Rochester, NY 14642-0002

Specialties

  • Nurse Practitioner (363L00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1689770901
Entity Type
Individual
Last Name
Kotyra
First Name
Lisa
Credential
NP
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 679B
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0002
Mailing Country
US
Mailing Phone
(585) 273-3760
Mailing Fax
(585) 273-1129
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0002
Practice Country
US
Practice Phone
(585) 273-3760
Practice Fax
(585) 273-1129
Enumeration Date
September 15, 2006
Last Updated
August 26, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)
Other Identifiers
01980198 (NY), NP0783 (NY, Preferred Care), P019301044 (NY, Blue Choice)