Provider Demographics
NPI:1033785050
Name:DOSCHER, LISA M (RN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:M
Last Name:DOSCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:M
Other - Last Name:GIOIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:201 SUNRISE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-1868
Mailing Address - Country:US
Mailing Address - Phone:631-289-2200
Mailing Address - Fax:
Practice Address - Street 1:201 SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1868
Practice Address - Country:US
Practice Address - Phone:631-289-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY795914-01163WG0000X
NY795914163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice