| Doctor Name: | MRS. LISA FLETCHER |
| NPI Number: | 1285988501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 629215-1 |
| Business Practice Address: | 488 Western Hwy Blauvelt, NY - 109132000 |
| Business Phone Number: | 8453593400 |
| Business Fax Number: | 8453595286 |
| Mailing Address: | 3 Crescent Dr, Spring Valley SPRING VALLEY |
| State: | NY |
| Postal Code: | 109772321 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2012 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 629215-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |