Individual provider · Type 1 NPI

Lisa D'andrea, PA-C

Medical Physician Assistant · Libertyville, IL

NPI number 1891781142 Active

Practice location

1800 Hollister Dr, Suite 102
Libertyville, IL 60048-5263

Call (847) 680-3666 Map

Fax (847) 680-3994

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-001596 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1891781142

Lisa D'andrea, PA-C's National Provider Identifier is 1891781142, issued on Sep 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Libertyville, IL. The record was last updated on Nov 7, 2010.