Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA LAURA WALL, PA
Active Sole ProprietorMRS. LISA LAURA WALL, PA is a Physician Assistant healthcare provider located in VERO BEACH, Florida. NPI 1205085321 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VERO BEACH, FL
Registration Details
- NPI Number
- 1205085321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2008 (17.942062152053 yrs)
- Last Updated
- Mar 13, 2024
- License
-
25MP00107400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3755 7TH TER STE 101VERO BEACH, FL, 329606531Browse FL providers · Browse ZIP 32960
- Phone
- 7725695056
- Fax
- 7725625098
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VERO BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| CAROL A KOIRO | PA | 1780679399 |
| LARRY JAMES | PA-C | 1073599841 |
| KIMBERLI S JOHNSTON | PA-C | 1932173895 |
| MARGARET G LEDDY | PA C | 1629043724 |
| LISA ANN MILLER | PA | 1407824675 |
| MR. CLEVELAND ABBE RICKARDS | P.A. | 1831118595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.