Mitchell, Lisa M.

Mitchell, Lisa M. is an individual health care provider with primary practice located at 38 Vanderbilt Ave , Norwood MA 02062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mitchell, Lisa M. can be contacted via phone (718) 762-2800.

Contact Information

Primary practice address
38 Vanderbilt Ave Norwood MA 02062
Phone: (718) 762-2800
Fax: (781) 762-2800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000456 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA456 Massachusetts

Profile Details

NPI number 1639287352
LBN Legal business name Mitchell, Lisa M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639287352 NPPES
Other 41053 RI BLUE CHIP

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