Individual
LISA MELNIK PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3649
CT
363AS0400X
Surgical Physician Assistant
013905
NY
363AS0400X
Surgical Physician Assistant
Primary
3649
CT
Other
Enumeration date
04/04/2008
Last updated
10/12/2022
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