National Provider Identifier
Lisa Wizeman
Lisa Wizeman is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 563-6060.
Profile Overview
- NPI
- 1720859325
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 11, 2024
- Last Updated
- January 11, 2024
Practice Location
- 2211 Lyell Ave Ste 102
- Rochester, NY 14606-5743
Phone: (585) 563-6060
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1720859325
- Entity Type
- Individual
- Last Name
- Wizeman
- First Name
- Lisa
- Mailing Street Address
- 2211 Lyell Ave Ste 102
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-5743
- Mailing Country
- US
- Mailing Phone
- (585) 563-6060
- Practice Street Address
- 2211 Lyell Ave Ste 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-5743
- Practice Country
- US
- Practice Phone
- (585) 563-6060
- Enumeration Date
- January 11, 2024
- Last Updated
- January 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)