Lisa Ally PA-C

NPI 1194929216 - Physician Assistant - 363A00000X

NPI Details
NPI 1194929216
Gender Female
Enumeration Date 06/13/2007
Last Updated 10/07/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
10205 S DIXIE HWY
102
PINECREST FL, 33156-3167, US
Phone (305) 666-0496
Fax
Business Location
1031 N 75TH AVE
HOLLYWOOD FL, 33024-5351, US
Phone (305) 298-3116
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA 9103925
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According to our database, Ms. Lisa Ally PA-C NPI is 1194929216, taxonomy code is 363A00000X and license number is PA 9103925, license state is located at Florida. Lisa Ally PA-C physically located at 10205 S Dixie Hwy, Pinecrest FL, 33156-3167. NPI Number Lisa Ally PA-C has the Individual type.

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1194929216 NPI number is provided on an as is basis without warranty of any kind. 1194929216 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ally PA-C are for informational purposes only.