Lisa K Nielsen, PA-C

NPI #1982688669 in Peoria, Illinois

Provider Information

NPI Number: 1982688669
Entity Type: Individual
Name: Lisa K Nielsen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 6, 2005
Last Updated: Feb 25, 2020

Practice Location

Address: 7309 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-2085
Phone: (309) 692-9898

Specialties & Taxonomy Codes

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

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