Individual provider · Type 1 NPI
Lisa Michelle Berra, PA-C
Medical Physician Assistant · Chicago Heights, IL
NPI number
1053547802
Active
Practice location
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Mailing address
PO Box 71-5281
Columbus, OH 43271-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1053547802
Lisa Michelle Berra, PA-C's National Provider Identifier is 1053547802, issued on Jun 8, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago Heights, IL. The record was last updated on Jun 8, 2009.