National Provider Identifier
Lisa Mirabella Quirk, SPECIALIST
Lisa Mirabella Quirk, SPECIALIST is listed in the NPPES registry with a primary specialty of Specialist in Webster, NY and a listed phone number of (585) 355-1561.
Profile Overview
- NPI
- 1710743992
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
Practice Location
- 983 John Leo Dr
- Webster, NY 14580-2365
Phone: (585) 355-1561
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1710743992
- Entity Type
- Individual
- Last Name
- Quirk
- First Name
- Lisa
- Middle Name
- Mirabella
- Credential
- SPECIALIST
- Mailing Street Address
- 983 John Leo Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2365
- Mailing Country
- US
- Mailing Phone
- (585) 355-1561
- Practice Street Address
- 983 John Leo Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2365
- Practice Country
- US
- Practice Phone
- (585) 355-1561
- Enumeration Date
- February 26, 2024
- Last Updated
- February 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)