MRS. Lisa Lynn Dite

NPI #1063774024 in Utica, New York

Provider Information

NPI Number
1063774024
Entity Type
Individual
Name
MRS. Lisa Lynn Dite
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jun 14, 2012
Last Updated
Jun 14, 2012

Practice Location

Address
130 LOMOND CT
City
Utica
ZIP Code
13502-5951
Phone
(315) 724-4286

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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