Individual provider · Type 1 NPI

Lisa Lasalle, PA-C

Physician Assistant · Rochester, NY

NPI number 1508353475 Active · reactivated Jun 6, 2023

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box 704
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X030096 (NY)

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 1508353475

Lisa Lasalle, PA-C's National Provider Identifier is 1508353475, issued on Apr 17, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester, NY. The record was last updated on Mar 3, 2026.