Individual provider · Type 1 NPI

Lisa Joan Nelson, PA

Medical Physician Assistant · Geneva, NY

NPI number 1053065680 Active

Practice location

789 Pre Emption Rd
Geneva, NY 14456-2069

Mailing address

601B W Washington St
Geneva, NY 14456-2119

Other practice locations

  • 65 W 36th St, New York, NY 10018-7902 · (888) 412-3632

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X029049 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1053065680

Lisa Joan Nelson, PA's National Provider Identifier is 1053065680, issued on Feb 11, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Geneva, NY. The record was last updated on May 13, 2026.