LISA DWELLO

WATERTOWN, NY
NPI1811509276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  025477)
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
LISA DWELLO PA
160 STONE ST
WATERTOWN, NY 13601-3261
Phone number: 315-788-8065
Mailing Address
LISA DWELLO PA
2697 MAIN ST
BUFFALO, NY 14214-1701
Phone number: 716-831-2200