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

LISA C PRENTISS, PA

Active

LISA C PRENTISS, PA is a Physician Assistant healthcare provider located in PORTLAND, Maine. NPI 1881652642 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORTLAND, ME

Registration Details

NPI Number
1881652642
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2006 (20.307762274352 yrs)
Last Updated
Jun 3, 2011
License
PA430 (ME)

Practice Information

Address
22 BRAMHALL ST
PAVILION 1203
PORTLAND, ME, 041027133
Browse ME providers · Browse ZIP 04102
Phone
2076624618
Fax
2076626254
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTLAND, ME

Name Credential NPI
ROBERT KLOTZ PA 1467447847
MRS. SARAH BLACK WIESENDANGER PATTON PA-C 1952391435
MS. LORI A NILAND PA-C 1003893108
MS. LEAH DEANDREA WALDMAN PAC 1871560821
MS. LORRAINE LALIBERTE PAC 1982673638
MR. STEVEN C. BLESSINGTON PA, MHP 1841259900
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.