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Lisa Marie Schultz
Specialist in Ronkonkoma, New York
NPI 1902463748

Lisa Marie Schultz is a Specialist based in Ronkonkoma, NY. Lisa Marie Schultz practices in Ronkonkoma, NY. The NPI Number for Lisa Marie Schultz is 1902463748 and holds a License No. (New York).

The current practice location address for Lisa Marie Schultz is 90 Air Park Dr, Ronkonkoma, NY and can be reached out via phone at 631-580-4001.

Location: 90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902463748
Provider Name
Lisa Marie Schultz
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Phone Number
631-580-4001
Fax Number
Provider Enumeration Date
05/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11813111 05 NY
institution
Provider Business Practice Location Address Details
Address
90 Air Park Dr
City
Ronkonkoma
State
New York
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider Business Mailing Address Details
Address
90 Air Park Dr
City
Ronkonkoma
State
New York
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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