Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA RAE INNIS, P.A-C
ActiveLISA RAE INNIS, P.A-C is a Physician Assistant healthcare provider located in BEAVERCREEK, Ohio. NPI 1922192350 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1922192350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.682673721675 yrs)
- Last Updated
- Aug 24, 2020
- Licenses
-
PA17447 (CA)50.001303RX (OH)
Practice Information
- Address
-
75 SYLVANIA DRBEAVERCREEK, OH, 454403237Browse OH providers · Browse ZIP 45440
- Phone
- 9373205050
- Fax
- 9373205060
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BEAVERCREEK, OH
| Name | Credential | NPI |
|---|---|---|
| RUTH E KOHSTALL | P.A. | 1417922204 |
| MICHELLE A ORTMAN | P.A.-C | 1104888213 |
| MRS. ALISON HEACOCK | PA-C | 1558306035 |
| TRACEY KWIAT | PAC | 1427074087 |
| SHIRLEY A MIRISCIOTTI | P.A. | 1902021975 |
| MR. JON MICHAEL FARLEY | PA-C | 1821293341 |
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.