Individual provider · NPI-1

Lisa M Augostini, NP

Nurse Practitioner, Pediatrics · Rochester, NY

NPI number1235144767
StatusActive
Last updated in NPPESJul 5, 2023

Details

NPI
1235144767
Entity type
Individual (NPI-1)
Name
Lisa M Augostini
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2006
Last updated
Jul 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF380635NYYes
363LP0200X Nurse Practitioner, Pediatrics380635NY

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Phone 585-275-2593 · Fax 585-275-3683

Mailing address

601 Elmwood Ave
Box 631
Rochester, NY 14642-0001

Phone 585-275-2593

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