Individual provider · Type 1 NPI

Lisa Petricca, PA-C

Medical Physician Assistant · Farmington, CT

NPI number 1003439936 Active

Practice location

263 Farmington Avenue
Farmington, CT 06030-8040

Call (860) 679-2100 Map

Fax (860) 679-4815

Other practice locations

  • 28 Berkshire Dr, Farmington, CT 06032-2506 · (860) 830-1556

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X004952 (CT)

Medical Physician Assistant: Definition to come...

224 other providers at this address

Other medical physician assistant providers in Farmington

See all in Farmington →

About NPI 1003439936

Lisa Petricca, PA-C's National Provider Identifier is 1003439936, issued on May 27, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, CT. The record was last updated on Feb 14, 2023.