Lisa Ann White, PA-C

NPI #1811992076 in Norwich, Connecticut

Provider Information

NPI Number: 1811992076
Entity Type: Individual
Name: Lisa Ann White, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 15, 2005
Last Updated: Sep 15, 2010

Practice Location

Address: 326 WASHINGTON ST
City: Norwich
State: Connecticut
ZIP Code: 06360-2740
Phone: (860) 889-8331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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