Dwello, Lisa

Dwello, Lisa is an individual health care provider with primary practice located at 160 Stone St , Watertown NY 13601-3261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dwello, Lisa can be contacted via phone (315) 788-8065.

Contact Information

Primary practice address
160 Stone St Watertown NY 13601-3261
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 025477 New York

Profile Details

NPI number 1811509276
LBN Legal business name Dwello, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 5 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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