Individual
LISA M. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
38 VANDERBILT AVE, NORWOOD, MA 02062
(718) 762-2800
(781) 762-2800
Mailing address
38 VANDERBILT AVE, SUITE F, NORWOOD, MA 02062
(718) 762-2800
(781) 762-2888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000456
MA
363A00000X
Physician Assistant
Primary
PA456
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41053
RI BLUE CHIP
—
Enumeration date
08/25/2006
Last updated
08/28/2023
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