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1225389117
LISA M ANDERSEN
LORAIN, OH
NPI
1225389117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22548)
Enumeration Date
2012-10-02
Last Update Date
2024-12-13
Business Address
LISA M ANDERSEN PAC
5700 COOPER FOSTER PARK RD W
LORAIN, OH 44053-4152
Phone number: 440-204-7400
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Mailing Address
LISA M ANDERSEN PAC
PO BOX 3699
NEWPORT BEACH, CA 92659-8699
Phone number: 949-574-4638
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