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Individual
MRS. LISA DAVEY AHAVA
Active
Individual
MRS. LISA DAVEY AHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2937
NH
363A00000X
Physician Assistant
PA00393
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004760
—
RI
01
—
9790047601
MEDICARE
RI
01
—
T401229991
MEDICARE
NH
Enumeration date
06/05/2006
Last updated
03/12/2026
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