Lisa A Obrien PA

NPI 1780637538 - Physician Assistant - 363A00000X

NPI Details
NPI 1780637538
Gender Female
Enumeration Date 05/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
FAMILY MEDICINE PRIMARY CARE 4TH FL
9200 WEST WISCONSIN AVENUE
MILWAUKEE WI, 53226, US
Phone (414) 805-3666
Fax
Business Location
9200 W WISCONSIN AVE
FAMILY MEDICINE PRIMARY CARE 4TH FL
MILWAUKEE WI, 53226-3522, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1924
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According to our database, Ms. Lisa A Obrien PA NPI is 1780637538, taxonomy code is 363A00000X and license number is 1924, license state is located at Wisconsin. Lisa A Obrien PA physically located at Family Medicine Primary Care 4th Fl, Milwaukee WI, 53226. NPI Number Lisa A Obrien PA has the Individual type.

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1780637538 NPI number is provided on an as is basis without warranty of any kind. 1780637538 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Obrien PA are for informational purposes only.