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

LISA KATHERINE FASONE, PA-C

Active

LISA KATHERINE FASONE, PA-C is a Physician Assistant healthcare provider located in ROCKFORD, Illinois. NPI 1932743432 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROCKFORD, IL

Registration Details

NPI Number
1932743432
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2019 (6.7817170086438 yrs)
Last Updated
Oct 29, 2019
License
085007338 (IL)

Practice Information

Address
1502 PARKVIEW AVE
ROCKFORD, IL, 611071821
Browse IL providers · Browse ZIP 61107
Phone
8153817250
Fax
8153817251
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROCKFORD, IL

Name Credential NPI
MS. AMY L DINELLO PA-C 1972595296
MR. MATTHEW DAVID SCHWABERO PA-C 1912989195
MR. SEAN CRESTON SOARE PA-C 1548242738
MR. GREGORY LEE CAMPBELL PA-C 1508849480
GORDON EGGERS 1033192927
MR. THOMAS S HANS JR. PA-C 1750369914
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.