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1225030752
LISA J TRICKEY
WATERTOWN, NY
NPI
1225030752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 0050661)
Enumeration Date
2005-08-15
Last Update Date
2023-03-07
Business Address
Ms. LISA J TRICKEY PA C
1340 WASHINGTON ST
WATERTOWN, NY 13601-4541
Phone number: 315-782-9003
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Mailing Address
Ms. LISA J TRICKEY PA C
53-59 PUBLIC SQUARE INTERNAL MEDICINE OF NORTHERN NEW YORK SUITE 201
WATERTOWN, NY 13601-2674
Phone number: 315-782-4950
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