LISA NIELSEN, PA-C
Physician Assistant
Active
Individual
NPI: 1982688669
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | 85000333 (IL) |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1982688669 is the National Provider Identifier for LISA NIELSEN, PA-C, a Physician Assistant provider located in Peoria, IL. This NPI was enumerated on December 6, 2005.
LISA NIELSEN, PA-C practices at 7309 N KNOXVILLE AVE, Peoria, IL 61614.
Quick Facts
- NPI
- 1982688669
- Type
- Individual
- Enumerated
- Dec 6, 2005
- Last Updated
- Feb 25, 2020
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