Individual
LISA ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 892-2761
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 892-2761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1886
MA
363AS0400X
Surgical Physician Assistant
00383
RI
363AS0400X
Surgical Physician Assistant
Primary
2425
CT
Other
Enumeration date
06/15/2005
Last updated
04/21/2026
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