Westcott, Lisa M

Westcott, Lisa M is an individual health care provider with primary practice located at 830 Washington St , Watertown NY 13601-4034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Westcott, Lisa M can be contacted via phone (315) 785-4102.

Contact Information

Primary practice address
830 Washington St Watertown NY 13601-4034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333074 New York

Profile Details

NPI number 1861499196
LBN Legal business name Westcott, Lisa M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Sep 25th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499196 NPPES
New York MEDICAID 02137126

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