Provider Demographics
NPI:1841209335
Name:CORIGLIANO, LISA D (NP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:D
Last Name:CORIGLIANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:K
Other - Last Name:DENNISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 CRITTENDEN BLVD.
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-3511
Mailing Address - Fax:585-276-0418
Practice Address - Street 1:300 CRITTENDEN BLVD.
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-273-4612
Practice Address - Fax:585-276-0422
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4003341363LP0808X
NYF400334-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health