Lisa M Vivian, PA
NPI #1942520085 in Brookville, Pennsylvania
Provider Information
- NPI Number
- 1942520085
- Entity Type
- Individual
- Name
- Lisa M Vivian, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 10, 2010
- Last Updated
- Nov 12, 2013
Practice Location
- Address
- 22 INDUSTRIAL PARK RD
- City
- Brookville
- State
- Pennsylvania
- ZIP Code
- 15825-7228
- Phone
- (814) 849-0990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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