Individual
LISA RONNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 NEVINS ST, SUITE 202, BRIGHTON, MA 02135
(176) 779-6700
(617) 779-6770
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
03/11/2025
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