Individual
MS. LISA LEIGH RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
(910) 362-1012
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03981
NC
Other
Enumeration date
12/17/2012
Last updated
05/17/2016
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