Individual provider · Type 1 NPI

Lisa Ann White, PA-C

Surgical Physician Assistant · Norwich, CT

NPI number 1811992076 Active

Practice location

326 Washington St
Norwich, CT 06360-2740

Fax (860) 892-2761

Other practice locations

  • 950 Warren Ave, East Providence, RI 02914-1432 · (401) 444-2701

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X00383 (RI)
Physician Assistant 363A00000X1886 (MA)
Surgical Physician Assistant Primary 363AS0400X2425 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1811992076

Lisa Ann White, PA-C's National Provider Identifier is 1811992076, issued on Jun 15, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norwich, CT. The record was last updated on Apr 21, 2026.