LISA SOUSOU, P.A.

Physician Assistant

Active Individual
NPI: 1255449948

Practice Address

522 S 4TH ST STE 500
Fulton, NY 13069

Phone: (315) 598-4740

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 008094 (NY)

Frequently Asked Questions

NPI 1255449948 is the National Provider Identifier for LISA SOUSOU, P.A., a Physician Assistant provider located in Fulton, NY. This NPI was enumerated on August 25, 2006.
LISA SOUSOU, P.A. practices at 522 S 4TH ST STE 500, Fulton, NY 13069.

Quick Facts

NPI
1255449948
Type
Individual
Enumerated
Aug 25, 2006
Last Updated
Mar 20, 2019

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