Individual
LISA MELNIK PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BLACHLEY RD, STAMFORD, CT 06902-0002
(203) 705-0715
(203) 705-0717
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(203) 705-0715
(203) 705-0717
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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