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Joseph W Lyman, NP

Nurse Practitioner, Family in Rochester, NY. Individual provider (NPI-1).

NPI number1013400902
StatusActive
Last updated in NPPESJun 10, 2019

Details

NPI
1013400902
Entity type
Individual (NPI-1)
Name
Joseph W Lyman
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2018
Last updated
Jun 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family343058NYYes

Practice location

777 Clinton Ave S
Rochester, NY 14620-1448

Phone 585-279-4800

Mailing address

777 Clinton Ave S
Rochester, NY 14620-1448

Phone 585-279-4800

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