Mcdonald, Lisa Therese

Mcdonald, Lisa Therese is an individual health care provider with primary practice located at 14 Hudson Ave , Glens Falls NY 12801-4448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdonald, Lisa Therese can be contacted via phone (518) 489-2663.

Contact Information

Primary practice address
14 Hudson Ave Glens Falls NY 12801-4448
Phone: (518) 489-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339956 New York

Profile Details

NPI number 1730629080
LBN Legal business name Mcdonald, Lisa Therese
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2017
Last updated Jun 4th, 2025 - 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 1730629080 NPPES
New York MEDICAID 04912947

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