LISA A GARDNER, PA-C, Physician Assistant ROCHESTER, NY - Profile
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Contact Information

LISA A GARDNER, PA-C
4901 LAC DE VILLE BLVD
ROCHESTER, NY14618-5647
 Phone: 585-275-5321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA A GARDNER · (Female)

NPI Number 1093131690
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/07/2014
Last updated 03/21/2023 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 017406
  • NY License # 17406
Hospital affiliation(s)
  • F F THOMPSON HOSPITAL - (Acute Care)
    350 PARRISH STREET
    CANANDAIGUA, NY 14424
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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