Individual
LISA N GOODWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 PLEASANT DR, WARREN, PA 16365-3371
(814) 723-8023
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
(814) 723-6095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054786
PA
Other
Enumeration date
02/03/2011
Last updated
07/03/2024
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