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Lisa M Kaczorowski

Specialist in Cheektowaga, NY. Individual provider (NPI-1).

NPI number1962055848
StatusActive
Last updated in NPPESJul 19, 2019

Details

NPI
1962055848
Entity type
Individual (NPI-1)
Name
Mrs. Lisa M Kaczorowski
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2019
Last updated
Jul 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist752431426NYYes

Practice location

2980 William St
Cheektowaga, NY 14227-1918

Phone 716-892-2060 · Fax 716-892-0428

Mailing address

2980 William St
Cheektowaga, NY 14227-1918

Phone 716-892-2060 · Fax 716-892-0428

Other practice locations

49 Marlee Dr
Tonawanda, NY 14150-4321

Phone 716-525-1802

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