Individual
LISSETTE CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300A FAUNCE CORNER RD, N DARTMOUTH, MA 02747-1280
(508) 973-1100
(508) 973-1105
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-2856
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1976
MA
363A00000X
Physician Assistant
Primary
53879
CA
363A00000X
Physician Assistant
PA1976
MA
Other
Enumeration date
11/08/2006
Last updated
12/29/2021
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