MRS. Lisa Keenan, PA

NPI #1407189079 in NY, New York

Provider Information

NPI Number
1407189079
Entity Type
Individual
Name
MRS. Lisa Keenan, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Sep 14, 2009
Last Updated
Sep 14, 2009

Practice Location

Address
1 GUSTAVE L LEVY PL
City
NY
ZIP Code
10029
Phone
(631) 379-6886

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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