Individual provider · Type 1 NPI

Lisa M. Macknair, PA-C

Medical Physician Assistant · Worcester, MA

NPI number 1033469648 Active

Practice location

630 Plantation St Fl ST12
Worcester, MA 01605-2038

Call (774) 261-1356 Map

Mailing address

460 Southbridge St, Readymed
Auburn, MA 01501-2442

Other practice locations

  • 68A Main St Ste 102, Medway, MA 02053-1775 · (508) 321-2850

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA4505 (MA)
Physician Assistant 363A00000XPA4505 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1033469648

Lisa M. Macknair, PA-C's National Provider Identifier is 1033469648, issued on Sep 12, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Worcester, MA. The record was last updated on Sep 3, 2025.