Individual provider · Type 1 NPI

Lisa A. Whiteside, PA-C

Medical Physician Assistant · Mooresville, IN

NPI number 1376673046 Active

Practice location

1205 Hadley Rd Ste 130
Mooresville, IN 46158-1934

Call (317) 831-9340 Map

Fax (317) 834-5768

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000872A (IN)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1376673046

Lisa A. Whiteside, PA-C's National Provider Identifier is 1376673046, issued on Mar 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mooresville, IN. The record was last updated on Oct 4, 2023.