MS. Lisa Ally, PA-C

NPI #1194929216 in Pinecrest, Florida

Provider Information

NPI Number: 1194929216
Entity Type: Individual
Name: MS. Lisa Ally, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 13, 2007
Last Updated: Oct 7, 2010

Practice Location

Address: 10205 S DIXIE HWY
Address 2: 102
City: Pinecrest
State: Florida
ZIP Code: 33156-3167
Phone: (305) 666-0496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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