Individual
LISA ANN SALISBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 WASON AVE, SUITE 120, SPRINGFIELD, MA 01107-1381
(413) 241-2100
(413) 735-2012
Mailing address
100 WASON AVE, SUITE 120, SPRINGFIELD, MA 01107-1381
(413) 241-2100
(413) 735-2012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002873
CT
363A00000X
Physician Assistant
Primary
PA4740
MA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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