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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA A WHITESIDE, PA-C

Active

LISA A WHITESIDE, PA-C is a Medical Physician Assistant healthcare provider located in MOORESVILLE, Indiana. NPI 1376673046 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MOORESVILLE, IN

Registration Details

NPI Number
1376673046
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.401508038067 yrs)
Last Updated
Oct 4, 2023
License
10000872A (IN)

Practice Information

Address
1205 HADLEY RD STE 130
MOORESVILLE, IN, 461581934
Browse IN providers · Browse ZIP 46158
Phone
3178319340
Fax
3178345768
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in MOORESVILLE, IN

Name Credential NPI
JANA BARTELS PA 1699799494
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.