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

MS. LISA MARIE REARDON, PA-C

Active

MS. LISA MARIE REARDON, PA-C is a Medical Physician Assistant healthcare provider located in KENNEWICK, Washington. NPI 1700049228 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · KENNEWICK, WA

Registration Details

NPI Number
1700049228
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2008 (18.142397002865 yrs)
Last Updated
Nov 17, 2016
Licenses
PA00739 (OR)
PA60423341 (WA)

Practice Information

Address
4008 W 27TH AVE, SUITE 103
KENNEWICK, WA, 99337
Browse WA providers · Browse ZIP 99337
Phone
5099422355
Fax
5092221289
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in KENNEWICK, WA

Name Credential NPI
RANDALL SHANE CLOWER PA-C 1871521864
STACEY S LEMIRE PA-C 1740323997
MR. BRUCE PATRICK DELEONARD PA-C 1609906411
ANTHONY VINCENT CARABBA PA-C 1861656902
MISS KARI DAWN ROBERTSON PA-C 1316174063
AMANDA D PETERSEN PA-C 1528391372
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.