LISA M MACKNAIR

WORCESTER, MA
NPI1033469648
Former NameLISA M SHUBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  PA4505)
Enumeration Date2012-09-12
Last Update Date2015-01-22
Business Address
Ms. LISA M MACKNAIR PA-C
630 PLANTATION ST FL ST12
WORCESTER, MA 01605-2038
Phone number: 774-261-1356
Mailing Address
Ms. LISA M MACKNAIR PA-C
460 SOUTHBRIDGE ST READYMED
AUBURN, MA 01501-2442
Phone number: 774-221-5135
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