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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA MARIE GORMAN, R.N.

Active Sole Proprietor

MRS. LISA MARIE GORMAN, R.N. is a Pediatric Nurse healthcare provider located in CONKLIN, New York. NPI 1023207248 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse · CONKLIN, NY

Registration Details

NPI Number
1023207248
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2007 (18.776899666835 yrs)
Last Updated
Oct 24, 2007
Licenses
447679-1 (NY)
447679-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
17 CAROL CT
CONKLIN, NY, 137481435
Browse NY providers · Browse ZIP 13748
Phone
6077759363
Primary Specialty
Pediatric Nurse
163WP0200X
Additional Specialty
Pediatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.