Lisa M. Fantroy, PA-C

NPI #1982799508 in Hazel Crest, Illinois

Provider Information

NPI Number: 1982799508
Entity Type: Individual
Name: Lisa M. Fantroy, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 3, 2006
Last Updated: May 27, 2025

Practice Location

Address: 24 CARRINGTON CT
City: Hazel Crest
State: Illinois
ZIP Code: 60429-2517
Phone: (708) 922-9184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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