National Provider Identifier
Lisa Marie Nicotra
Lisa Marie Nicotra is listed in the NPPES registry with a primary specialty of Pharmacist in West Seneca, NY and a listed phone number of (716) 674-4375.
Profile Overview
- NPI
- 1700060357
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 18, 2007
- Last Updated
- December 18, 2007
Practice Location
- 4018 Seneca St
- West Seneca, NY 14224-3413
Phone: (716) 674-4375
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1700060357
- Entity Type
- Individual
- Last Name
- Nicotra
- First Name
- Lisa
- Middle Name
- Marie
- Provider Other Last Name
- Tschopp
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4018 Seneca St
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3413
- Mailing Country
- US
- Mailing Phone
- (716) 674-4375
- Practice Street Address
- 4018 Seneca St
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3413
- Practice Country
- US
- Practice Phone
- (716) 674-4375
- Enumeration Date
- December 18, 2007
- Last Updated
- December 18, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 042198-1 (NY, Licence)