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1740445519
LISA A WALTER
JAMESTOWN, NY
NPI
1740445519
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Former Name
LISA A RAYMOND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F335710-1)
Enumeration Date
2008-07-22
Last Update Date
2016-07-25
Business Address
-- LISA A WALTER N.P.
117 FOOTE AVENUE SUITE 100
JAMESTOWN, NY 14701
Phone number: 716-338-9200
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Mailing Address
-- LISA A WALTER N.P.
117 FOOTE AVE
JAMESTOWN, NY 14701-6947
Phone number: 716-338-9500
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