Individual provider · Type 1 NPI
Lisa Keenan, PA
Surgical Physician Assistant · Ny, NY
NPI number
1407189079
Active
Practice location
1 Gustave L Levy Pl
Ny, NY 10029
Mailing address
211 Elm Ct
Scotch Plains, NJ 07076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 012029-1 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1407189079
Lisa Keenan, PA's National Provider Identifier is 1407189079, issued on Sep 14, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ny, NY. The record was last updated on Sep 14, 2009.