MRS. Lisa Joy Walters, MSED
NPI #1164773941 in Lake Grove, New York
Provider Information
- NPI Number
- 1164773941
- Entity Type
- Individual
- Name
- MRS. Lisa Joy Walters, MSED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MSED
- Enumeration Date
- Sep 20, 2012
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 6 ASHFORD DR
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2808
- Phone
- (631) 588-5176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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