LISA MONTGOMERY, PA
Physician Assistant
Active
Individual
NPI: 1639253347
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 10000327 (IN) |
Frequently Asked Questions
NPI 1639253347 is the National Provider Identifier for LISA MONTGOMERY, PA, a Physician Assistant provider located in Russiaville, IN. This NPI was enumerated on October 25, 2006.
LISA MONTGOMERY, PA practices at 3309 S 750 W, Russiaville, IN 46979.
Quick Facts
- NPI
- 1639253347
- Type
- Individual
- Enumerated
- Oct 25, 2006
- Last Updated
- Mar 24, 2021
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