Killian, Lisa M

Killian, Lisa M is an individual health care provider with primary practice located at 112 Willowbrook Rd , Rochester NY 14616. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Case Management, Nursing Service Providers / Occupational Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Killian, Lisa M can be contacted via phone (585) 865-3046.

Contact Information

Primary practice address
112 Willowbrook Rd Rochester NY 14616
Phone: (585) 865-3046
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4245201 New York
Nursing Service Providers / Case Management 163WC0400X 4245201 New York
Nursing Service Providers / Occupational Health 163WX0106X 4245201 New York

Profile Details

NPI number 1164620373
LBN Legal business name Killian, Lisa M
Credentials RN CCM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 19 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 1164620373 NPPES
New York MEDICAID 02679596

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