Most Relevant Information
Provider Data
| NPI Number: | 1003273673 |
| Provider Name: | LISA DAWN CEDERLUND RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 678468 |
Most Important Dates
| Enumeration Date: | 01/27/2016 |
| Last Updated: | 01/27/2016 |
Provider Practice Location
112 RED BARN RD
PINE BUSH
NY
125667456
Practice Location Phone/Fax
| Phone: | 8457413918 |
| Fax: |
Provider Mailing Location
PO BOX 506
PINE BUSH
NY
125660506
Provider Mailing Phone/Fax
| Phone: | 8457413918 |
| Fax: |