Lisa Ann Nicholson, OTR/L - Occupational Therapist in Avoca, NY

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Lisa Ann Nicholson, OTR/L is a Occupational Therapist - Pediatrics based in Avoca, New York. Lisa Ann Nicholson is licensed to practice in New York (license number 012016-1) and her current practice location is 8992 Hemlock Road, Avoca, New York. She can be reached at her office (for appointments etc.) via phone at (607) 566-3407.

NPI number for Lisa Ann Nicholson is 1689820060 and her current mailing address is 8992 Hemlock Rd, Avoca, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689820060.

Contact Information

Lisa Ann Nicholson, OTR/L
8992 Hemlock Road,
Avoca, NY 14809
(607) 566-3407
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Ann Nicholson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location8992 Hemlock Road, Avoca, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689820060
  • Provider Enumeration Date: 08/17/2008
  • Last Update Date: 12/23/2011

Medical Identifiers

Medical identifiers for Lisa Ann Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689820060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 012016-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Ann Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Ann Nicholson, OTR/L
8992 Hemlock Rd,
Avoca, NY 14809-9777

Ph: () -		Lisa Ann Nicholson, OTR/L
8992 Hemlock Road,
Avoca, NY 14809

Ph: (607) 566-3407

Reviews and Comments


Occupational Therapist in Avoca, NY


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