O' Connor, Lisa M

O' Connor, Lisa M is an individual health care provider with primary practice located at 7 Stetson Rd , Tupper Lake NY 12986-2014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. O' Connor, Lisa M can be contacted via phone (518) 359-7000.

Contact Information

Primary practice address
7 Stetson Rd Tupper Lake NY 12986-2014
Phone: (518) 359-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005477 New York

Profile Details

NPI number 1134115868
LBN Legal business name O' Connor, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 7th, 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 1134115868 NPPES
New York MEDICAID 02315180
New York Other 080111447

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