Individual
LISA M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
1 HAMPTON RD, SUITE 200, EXETER, NH 03833-4848
(603) 775-7575
(603) 778-9680
Mailing address
1 HAMPTON RD, SUITE 200, EXETER, NH 03833-4848
(603) 775-7575
(603) 778-9680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
004290-1
NY
363AS0400X
Surgical Physician Assistant
Primary
1126
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02155457
—
NY
Enumeration date
11/08/2006
Last updated
02/17/2016
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