| Doctor Name: | LISA NICOLE FRONCZAK |
| NPI Number: | 1003197112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 015073 |
| Business Practice Address: | 1425 Portland Ave Box 362 Rochester, NY - 146213001 |
| Business Phone Number: | 5859224000 |
| Business Fax Number: | |
| Mailing Address: | 1425 Portland Ave, Box 362 ROCHESTER |
| State: | NY |
| Postal Code: | 146213001 |
| Phone Number: | 5859224000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 015073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |