Individual provider · Type 1 NPI

Lissette I. Cruz, PA-C

Physician Assistant · Bridgeport, CT

NPI number 1245647486 Active

Practice location

64 Black Rock Ave
Bridgeport, CT 06605-1200

Call (203) 579-5000 Map

Fax (203) 579-5113

Mailing address

259 Light St
Stratford, CT 06614-5233

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X003107 (CT)

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 1245647486

Lissette I. Cruz, PA-C's National Provider Identifier is 1245647486, issued on Jul 21, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 20, 2015.