LISA A WHITESIDE

MOORESVILLE, IN
NPI1376673046
Former NameLISA A HERTEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10000872A)
Enumeration Date2007-03-06
Last Update Date2023-10-04
Business Address
LISA A WHITESIDE PA-C
1205 HADLEY RD STE 130
MOORESVILLE, IN 46158-1934
Phone number: 317-831-9340
Mailing Address
LISA A WHITESIDE PA-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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