Healthcare Provider Details

I. General information

NPI: 1750594677
Provider Name (Legal Business Name): LISA ANN SAUBERMANN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE BOX 638
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

15 TURNING LEAF DR
PITTSFORD NY
14534-9422
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-1732
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number041356-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: