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Mrs. Lisa Hawthorne, ANP
Adult Health Nurse Practitioner in Camillus, New York
NPI 1275509416

Lisa Hawthorne is an Adult Health Nurse Practitioner based in Camillus, NY and is specialized in Adult Health. Lisa Hawthorne practices in Camillus, NY and has the professional credentials of ANP. The NPI Number for Lisa Hawthorne is 1275509416 and holds a License No. F302679-1 (New York).

The current practice location address for Lisa Hawthorne is 260 Township Blvd, Camillus, NY and can be reached out via phone at 315-708-0091 and via fax at 315-708-0194.

Location: 260 Township Blvd, Camillus, NY, 13031-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275509416
Provider Name
Lisa Hawthorne
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
260 Township Blvd, Camillus, NY, 13031-1674
Phone Number
315-708-0091
Fax Number
315-708-0194
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02410204 05 NY
institution
Provider Business Practice Location Address Details
Address
260 Township Blvd
City
Camillus
State
New York
Zip
13031-1674
Phone Number
315-708-0091
Fax Number
315-708-0194
person
Provider Business Mailing Address Details
Address
260 Township Blvd
City
Camillus
State
New York
Zip
13031-1674
Phone Number
315-708-0091
Fax Number
315-708-0194
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F302679-1 (New York)
Definition
Definition to come...
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