Provider Demographics
NPI:1659571917
Name:LISA FRANCEY, DC, PLLC
Entity Type:Organization
Organization Name:LISA FRANCEY, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-386-2273
Mailing Address - Street 1:16 PARK ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1204
Mailing Address - Country:US
Mailing Address - Phone:315-386-2273
Mailing Address - Fax:315-386-2274
Practice Address - Street 1:16 PARK ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1204
Practice Address - Country:US
Practice Address - Phone:315-386-2273
Practice Address - Fax:315-386-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009831-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0442Medicare PIN