Individual provider · Type 1 NPI

Despina Lianidis, PA-C

Physician Assistant · Medford, NJ

NPI number 1790430692 Active

Practice location

131 Route 70 Ste 100
Medford, NJ 08055-9501

Call (609) 267-9400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X25MP00736200 (NJ)

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 1790430692

Despina Lianidis, PA-C's National Provider Identifier is 1790430692, issued on Feb 18, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Medford, NJ. The record was last updated on Sep 27, 2022.