Lisa Marie Service, PA-C

NPI #1598031015 in Miami Lakes, Florida

Provider Information

NPI Number
1598031015
Entity Type
Individual
Name
Lisa Marie Service, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Mar 29, 2012
Last Updated
Aug 16, 2019

Practice Location

Address
15507 NW 67TH AVE
State
Florida
ZIP Code
33014-2108
Phone
(305) 821-8611

Specialties & Taxonomy Codes

Specialty
Community Health Worker
Physician Assistant - MedicalMedical

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Organizations

Provider Name
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