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Lisa Nicole Fronczak, PA-C
Surgical Physician Assistant in Rochester, New York
NPI 1003197112

Lisa Nicole Fronczak is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Lisa Nicole Fronczak practices in Rochester, NY and has the professional credentials of PA-C. The NPI Number for Lisa Nicole Fronczak is 1003197112 and holds a License No. 015073 (New York).

The current practice location address for Lisa Nicole Fronczak is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4000.

Location: 1425 Portland Ave, Rochester, NY, 14621-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003197112
Provider Name
Lisa Nicole Fronczak
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1425 Portland Ave, Rochester, NY, 14621-3001
Phone Number
585-922-4000
Fax Number
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03548258 05 NY
J400086710 01 NY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
015073 (New York)
Definition
Definition to come...
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