Individual
LISA KRISTINE DOVERSPIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
129 ONEIDA VALLEY RD STE 310, BUTLER, PA 16001-2252
(617) 851-6197
Mailing address
129 ONEIDA VALLEY RD STE 310, BUTLER, PA 16001-2252
(724) 968-5330
(724) 431-2951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103181495-0001
—
PA
Enumeration date
05/12/2006
Last updated
01/05/2018
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