# LISA ANNE MASCALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609925999
- **Gender:** F
- **Credential:** PT, LAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 005836 | NY | — |
| 171100000X | Acupuncturist | 25MZ00130000 | NJ | Yes |
| 225100000X | Physical Therapist | 027805-01 | NY | — |
| 225100000X | Physical Therapist | 40QA01027200 | NJ | — |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 02/25/2019