Mccollum, Lisa

Mccollum, Lisa is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Otorhinolaryngology & Head-Neck, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mccollum, Lisa can be contacted via phone (585) 275-4751.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 275-4751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Otorhinolaryngology & Head-Neck 163WX0601X 430187 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F430187 New York

Profile Details

NPI number 1477566297
LBN Legal business name Mccollum, Lisa
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 5th, 2023 - about last year

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 1477566297 NPPES
New York Other NP0785 PREFERRED CARE
New York Other P019430187 PREFERRED CARE

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