Individual
MS. LISA D'ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 HOLLISTER DR, SUITE 102, LIBERTYVILLE, IL 60048-5263
(847) 680-3666
(847) 680-3994
Mailing address
1800 HOLLISTER DR, SUITE 102, LIBERTYVILLE, IL 60048-5263
(847) 680-3666
(847) 680-3994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-001596
IL
Other
Enumeration date
09/22/2005
Last updated
11/07/2010
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