Walter, Lisa A

Walter, Lisa A is an individual health care provider with primary practice located at 117 Foote Avenue Suite 100, Jamestown NY 14701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walter, Lisa A can be contacted via phone (716) 338-9200.

Contact Information

Primary practice address
117 Foote Avenue Suite 100 Jamestown NY 14701
Phone: (716) 338-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335710-1 New York

Profile Details

NPI number 1740445519
LBN Legal business name Walter, Lisa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Jul 25th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740445519 NPPES
New York Other 9515406 IHA
New York MEDICAID 03064697 IHA
New York Other 0569838 IHA
New York Other 000531082001 IHA

Popular Providers