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1275509416
LISA HAWTHORNE
CAMILLUS, NY
NPI
1275509416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F302679-1)
Enumeration Date
2006-02-27
Last Update Date
2016-06-17
Business Address
Mrs. LISA HAWTHORNE A.N.P.
260 TOWNSHIP BLVD STE 20
CAMILLUS, NY 13031-1674
Phone number: 315-708-0091
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Mailing Address
Mrs. LISA HAWTHORNE A.N.P.
260 TOWNSHIP BLVD STE 20
CAMILLUS, NY 13031-1674
Phone number: 315-708-0190
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