| Doctor Name: | LISA ANN BARRETT |
| NPI Number: | 1235476219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 306219 |
| Business Practice Address: | 113 Main St Silver Creek, NY - 141361452 |
| Business Phone Number: | 7169344518 |
| Business Fax Number: | 7169347443 |
| Mailing Address: | 797 King Rd, FORESTVILLE |
| State: | NY |
| Postal Code: | 140629780 |
| Phone Number: | 7169342457 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2013 |
| NPI Last Update Date: | 02/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 306219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |