Individual provider · Type 1 NPI

Lisa Melnik Pearson, PA-C

Surgical Physician Assistant · Stamford, CT

NPI number 1497928931 Active

Practice location

1 Blachley Rd
Stamford, CT 06902-0002

Fax (203) 705-0717

Mailing address

PO Box 29234
New York, NY 10087-9234

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X3649 (CT)
Surgical Physician Assistant 363AS0400X013905 (NY)
Surgical Physician Assistant Primary 363AS0400X3649 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1497928931

Lisa Melnik Pearson, PA-C's National Provider Identifier is 1497928931, issued on Apr 4, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stamford, CT. The record was last updated on Oct 12, 2022.