Lisa M. Service PA-C
Medical Physician Assistant in Miami Lakes, FL(View on Map)
Full Name
Lisa Marie Service PA-C
NPI Number
1598031015
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/29/2012
Specialties
(Taxonomies)Code
363AM0700X
172V00000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
9105791
Contact
Information
Purpose
Mailing
Location
Address
900 S PINE ISLAND RD
15507 NW 67TH AVE
City
Plantation
Miami Lakes
State
FL
FL
Postal Code
33324-3920
33014-2108
Country
US
US
Telephone Number
(305) 821-8611
(305) 821-8611
Identifiers
Identifier
007661300
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/16/2019
Provider Address
Other Medical Physician Assistants in Miami Lakes, Florida:
Priscilla Vallejo PA-C
Miami Lakes, FLSpecialties: Medical Physician Assistant (Primary)Behavior Technician