Individual provider · Type 1 NPI

Lisa Ann McCarroll, PA-C

Medical Physician Assistant · Middletown, CT

NPI number 1093024978 Active

Practice location

28 Crescent St
Middletown, CT 06457-3654

Mailing address

52 Homesdale Ave
Southington, CT 06489-3742

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002457 (CT)
Medical Physician Assistant Primary 363AM0700X002457 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1093024978

Lisa Ann McCarroll, PA-C's National Provider Identifier is 1093024978, issued on Sep 27, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, CT. The record was last updated on Nov 21, 2013.