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

LISA GENNOSA, PA-C

Active Sole Proprietor

LISA GENNOSA, PA-C is a Physician Assistant healthcare provider located in ROBERSONVILLE, North Carolina. NPI 1457774028 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROBERSONVILLE, NC

Registration Details

NPI Number
1457774028
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2014 (12.352796963203 yrs)
Last Updated
Feb 1, 2014
License
0010-04811 (NC)
Sole Proprietor
Yes

Practice Information

Address
504 N MAIN ST
ROBERSONVILLE, NC, 278719567
Browse NC providers · Browse ZIP 27871
Phone
2527955555
Fax
2527955566
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROBERSONVILLE, NC

Name Credential NPI
JENNIFER L BAKER PA-C 1659851947
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.