Cornell, Lisa Marie

Cornell, Lisa Marie is an individual health care provider with primary practice located at 8285 River Rd , Baldwinsville NY 13027-9175. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Cornell, Lisa Marie can be contacted via phone (315) 877-4606.

Contact Information

Primary practice address
8285 River Rd Baldwinsville NY 13027-9175
Phone: (315) 877-4606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 808996 New York

Profile Details

NPI number 1053590083
LBN Legal business name Cornell, Lisa Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 12th, 2022 - about 3 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 1053590083 NPPES
New York MEDICAID 02877778

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