Individual provider · Type 1 NPI

Lisa Doolittle, NP

Adult Health Nurse Practitioner · Phoenix, NY

NPI number 1063539617 Active

Practice location

19 Jefferson St
Phoenix, NY 13135-2333

Fax (315) 349-7696

Mailing address

348 Lake Rd
Oswego, NY 13126-5974

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF302052 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1063539617

Lisa Doolittle, NP's National Provider Identifier is 1063539617, issued on Mar 26, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, NY. The record was last updated on Jul 8, 2007.