Smith, Lisa Anne

Smith, Lisa Anne is an individual health care provider with primary practice located at 3101 Ridge Rd W Building C, Rochester NY 14626-3249. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Smith, Lisa Anne can be contacted via phone (585) 225-1700.

Contact Information

Primary practice address
3101 Ridge Rd W Building C Rochester NY 14626-3249
Phone: (585) 225-1700
Fax: (585) 225-1439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207226 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207226 New York

Profile Details

NPI number 1720138407
LBN Legal business name Smith, Lisa Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 5th, 2023 - 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 1720138407 NPPES
New York MEDICAID 01985991

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