Most Relevant Information
Provider Data
| NPI Number: | 1003197112 |
| Provider Name: | LISA NICOLE FRONCZAK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 015073 |
Most Important Dates
| Enumeration Date: | 09/01/2011 |
| Last Updated: | 07/03/2013 |
Provider Practice Location
1425 PORTLAND AVE
BOX 362
ROCHESTER
NY
146213001
Practice Location Phone/Fax
| Phone: | 5859224000 |
| Fax: |
Provider Mailing Location
1425 PORTLAND AVE
BOX 362
ROCHESTER
NY
146213001
Provider Mailing Phone/Fax
| Phone: | 5859224000 |
| Fax: |