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1538127113

NPI Code Detail

MEDICARE: LISA FOREHAND MD

MEDICARE: LISA FOREHAND MD

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
1	207R00000X	Internal Medicine Physician	228952	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2891324	OTHER	NY	IHA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	080128000101	OTHER	NY	FIDELIS CARE
4	159665BJ	OTHER	NY	PREFERRED CARE
5	454161	OTHER	NY	WELLCARE
6	00026382903	OTHER	NY	UNIVERA
7	000592476005	OTHER	NY	BCBS
8	0204682	OTHER	NY	GHI

General Provider Information

NPI Number	:	1538127113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA FOREHAND MD

Provider Business Mailing Address
First Line	:	4855 CAMP RD
Second Line	:	SUITE 100
City	:	HAMBURG
State	:	NY
Zip	:	14075-2600
Country	:	US
Telephone Number	:	716-646-1084
Fax Number	:	716-646-0763

Provider Business Practice Location Address
First Line	:	4855 CAMP RD
Second Line	:	SUITE 100
City	:	HAMBURG
State	:	NY
Zip	:	14075-2600
Country	:	US
Telephone Number	:	716-646-1084
Fax Number	:	716-646-0763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/20/2014

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Directions to “ LISA FOREHAND MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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