LISA KATHERINE FASONE

ROCKFORD, IL
NPI1932743432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007338)
Enumeration Date2019-10-29
Last Update Date2019-10-29
Business Address
LISA KATHERINE FASONE PA-C
1502 PARKVIEW AVE
ROCKFORD, IL 61107-1821
Phone number: 815-381-7250
Mailing Address
LISA KATHERINE FASONE PA-C
1502 PARKVIEW AVE
ROCKFORD, IL 61107-1821
Phone number: 815-381-7250
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