Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa J. Sousou, PA

Individual provider Physician Assistant · NPI 1255449948

Lisa J. Sousou, PA is a Physician Assistant in Fulton, New York. Qualified in 2000, 26 years ago. Practices with Oswego County Opportunities, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

522 S 4th St Ste 500
Fulton, NY 13069-2936
Phone: (315) 598-4740
Fax: (315) 598-4728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008094 (NY)

Record details

NPI number1255449948
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESMarch 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Oswego County Opportunities, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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