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

LISA MONTGOMERY, PA

Active

LISA MONTGOMERY, PA is a Physician Assistant healthcare provider located in RUSSIAVILLE, Indiana. NPI 1639253347 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RUSSIAVILLE, IN

Registration Details

NPI Number
1639253347
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.657743863895 yrs)
Last Updated
Mar 24, 2021
License
10000327 (IN)

Practice Information

Address
3309 S 750 W
RUSSIAVILLE, IN, 469799146
Browse IN providers · Browse ZIP 46979
Phone
7658832273
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RUSSIAVILLE, IN

Name Credential NPI
JAMES COLE PA 1952487936
KRISTEN L FOX PA-C 1538678289
MICHAEL JOSEPH BEHNA PA 1417677972
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.