Lisa Petricca, PA-C
NPI #1003439936 in Farmington, Connecticut
Provider Information
- NPI Number
- 1003439936
- Entity Type
- Individual
- Name
- Lisa Petricca, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- May 27, 2020
- Last Updated
- Feb 14, 2023
Practice Location
- Address
- 263 FARMINGTON AVENUE
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-8040
- Phone
- (860) 679-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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