Lisa J. Sousou, P.A.

NPI #1255449948 in Fulton, New York

Provider Information

NPI Number
1255449948
Entity Type
Individual
Name
Lisa J. Sousou, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Aug 25, 2006
Last Updated
Mar 20, 2019

Practice Location

Address
522 S 4TH ST STE 500
City
Fulton
ZIP Code
13069-2936
Phone
(315) 598-4740

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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