Provider Demographics
NPI:1619121100
Name:ZAMPINI, LISA A LEONE (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A LEONE
Last Name:ZAMPINI
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9481 STEAMSHIP MANHATTAN
Mailing Address - Street 2:
Mailing Address - City:BREWERTON
Mailing Address - State:NY
Mailing Address - Zip Code:13029-9573
Mailing Address - Country:US
Mailing Address - Phone:315-345-8363
Mailing Address - Fax:
Practice Address - Street 1:614 S SALINA ST
Practice Address - Street 2:SUITE NUMBER 300
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-3500
Practice Address - Country:US
Practice Address - Phone:315-425-0599
Practice Address - Fax:315-471-6760
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006759-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant