Individual provider · Type 1 NPI

Lisa Nicole Manning, PA

Physician Assistant · Brookline, MA

NPI number 1164904579 Active

Practice location

1285 Beacon St
Brookline, MA 02446-5237

Call (617) 751-6205 Map

Mailing address

440 Foley St
Somerville, MA 02145-1213

Other practice locations

  • 75 Francis St, Boston, MA 02115-6110 · (617) 732-5088

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA6689 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164904579

Lisa Nicole Manning, PA's National Provider Identifier is 1164904579, issued on Aug 31, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brookline, MA. The record was last updated on Oct 18, 2022.