Individual provider · Type 1 NPI

Liesl Marie Connelly, PA-C

Medical Physician Assistant · Rockwall, TX

NPI number 1235317702 Active

Practice location

1005 W. Ralph Hall Pkwy, Suite 201
Rockwall, TX 75032-6662

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA05675 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1235317702

Liesl Marie Connelly, PA-C's National Provider Identifier is 1235317702, issued on Feb 6, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockwall, TX. The record was last updated on Jul 29, 2008.