Dube-Whitehair, Lisa

Dube-Whitehair, Lisa is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Dube-Whitehair, Lisa can be contacted via phone (585) 275-2691.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 275-2691
Fax: (585) 273-3359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420311 New York

Profile Details

NPI number 1891731170
LBN Legal business name Dube-Whitehair, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891731170 NPPES
New York MEDICAID 02523595

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