Individual
MS. NICOLE LISSANDRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9000
Mailing address
8 CHRISTINE DR, WEST SPRINGFIELD, MA 01089-2230
(413) 265-1286
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5080
MA
Other
Enumeration date
08/14/2014
Last updated
08/25/2017
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