Lisbon Medical Group

NPI #1871780379 in Lisbon, New York

Provider Information

NPI Number: 1871780379
Entity Type: Organization
Organization Name: Lisbon Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: LISBON MEDICAL GROUP
Primary Specialty: Physician Assistant
Enumeration Date: Sep 28, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 7016 CTY RT 10
City: Lisbon
State: New York
ZIP Code: 13658-0176
Phone: (315) 393-3227

Authorized Official

Name: MR. ALAN J WINNEY, PA
Title: PHYSICIAN ASSISTANT
Phone: (315) 393-3227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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