Despina Lianidis, PA-C
NPI #1790430692 in Medford, New Jersey
Provider Information
- NPI Number
- 1790430692
- Entity Type
- Individual
- Name
- Despina Lianidis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 18, 2022
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 131 ROUTE 70 STE 100
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-9501
- Phone
- (609) 267-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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