Individual provider · Type 1 NPI

Lisa A. Braden, PA-C

Surgical Physician Assistant · Charlottesville, VA

NPI number 1881621829 Active

Practice location

595 Martha Jefferson Dr Ste 180
Charlottesville, VA 22911-4669

Fax (434) 654-5574

Mailing address

PO Box 79777
Baltimore, MD 21279-0777

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110840316 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1881621829

Lisa A. Braden, PA-C's National Provider Identifier is 1881621829, issued on Jun 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlottesville, VA. The record was last updated on Apr 4, 2019.