Individual
LISSETTE NOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 NE 3RD ST, FORT LAUDERDALE, FL 33301
(754) 206-2420
(954) 867-5583
Mailing address
105 NE 3RD ST, FORT LAUDERDALE, FL 33301-1046
(754) 206-2420
(954) 867-5583
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
21236
CA
363AM0700X
Medical Physician Assistant
Primary
9105101
FL
Other
Enumeration date
10/26/2011
Last updated
05/24/2018
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