| Doctor Name: | LISA MARIE SAUER |
| NPI Number: | 1619336674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGPCNP |
| License Number: | 307630 |
| Business Practice Address: | 9741 State Route 97 Callicoon, NY - 127235447 |
| Business Phone Number: | 8458876112 |
| Business Fax Number: | |
| Mailing Address: | 79 County Road 114, COCHECTON |
| State: | NY |
| Postal Code: | 127265216 |
| Phone Number: | 8458072297 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2016 |
| NPI Last Update Date: | 02/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 307630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |