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

MRS. LISA M PROULX, RN

Active

MRS. LISA M PROULX, RN is a Registered Nurse healthcare provider located in FORT DRUM, New York. NPI 1568478253 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · FORT DRUM, NY

Registration Details

NPI Number
1568478253
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2006 (19.854333513161 yrs)
Last Updated
Jun 20, 2018
License
696332 (NY)

Practice Information

Address
11050 MOUNT BELVEDERE BLVD
USA MEDDAC, ATTN CREDENTIALS
FORT DRUM, NY, 13602
Browse NY providers · Browse ZIP 13602
Phone
3157723546
Fax
3157729762
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in FORT DRUM, NY

Name Credential NPI
MRS. TAWNYA NICOLE VULTAGGIO RN 1033468855
GINETTE SEAMANS RN 1417621160
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.