LISA E COLLINS

SQUARE CARE MEDICAL GROUP LLP

Dr LISA E COLLINS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.

Contact

SQUARE CARE MEDICAL GROUP LLP

191 HERRICKS RD
GARDEN CITY PARK
NY
110405236

Tel: 5167422224

LISA E COLLINS Information

Npi 1861737280
Pac Id 0345468385
Professional Enrollment Id I20140904000798
Last Name COLLINS
First Name LISA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SQUARE CARE MEDICAL GROUP LLP
Group Practice Pac Id 7012938434
Number Of Group Practice Members 76
Line 1 Street Address 191 HERRICKS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GARDEN CITY PARK
State NY
Zip Code 110405236
Phone Number 5167422224
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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