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NPI Code Detail

MEDICARE: LISA SCHOLL PA

MEDICARE: LISA SCHOLL PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0107211NY

General Provider Information

NPI Number : 1366470486
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SCHOLL PA
Provider Business Mailing Address
First Line : 1050 NIAGARA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2001
Country : US
Telephone Number : 716-493-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1050 NIAGARA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2001
Country : US
Telephone Number : 716-228-9965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 11/23/2022

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Directions to “ LISA SCHOLL PA” Practice Location

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