NPI
Lisa Marie Wilson
NPI 1134415755
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- NP
- Type
- Individual
- Enumeration date
- 2011-06-22
- Last updated
- 2023-02-06
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Specialties
Licenses
- License NY
- 345130
- License NY
- 605899-1
Location
- Practice location
- 2760 Monroe Ave Ste 401b
- City
- Rochester NY
- Postal code
- 14618-4116
- Phone
- (585) 397-3752
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Rochester, NY. 22,922 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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