Individual
MS. LISA FERAZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
85 OLD COLONY AVENUE, BOSTON, MA 02127-0212
(617) 268-1700
Mailing address
320 SEAPORT LN UNIT 3123, MOUNT PLEASANT, SC 29464-3781
(646) 599-5773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012988
NY
363AM0700X
Medical Physician Assistant
012988
NY
Other
Enumeration date
11/06/2008
Last updated
07/27/2021
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