LISA ANN WHITE PA-C NPI 1811992076

NPI Information

NPI: 1811992076
Provider Name: LISA ANN WHITE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: LIFESPAN PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
326 WASHINGTON ST
NORWICH, CT
ZIP 06360
Phone: (860) 889-8331
Get Directions

Lisa Ann White, PA-C is a surgical physician assistant in Norwich, CT with 20 years of experience. Lisa Ann White, PA-C NPI is 1811992076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2004

The provider's business location address is:

326 WASHINGTON ST
NORWICH, CT
ZIP 06360-740
Phone: (860) 889-8331
Fax: (860) 892-2761

The NPI 1811992076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	00383	RHODE ISLAND	No
2	363A00000X	Physician Assistant		1886	MASSACHUSETTS	No
3	363AS0400X	Physician Assistant	Surgical	2425	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q31492	MEDICARE UPIN	MASSACHUSETTS
2	AP2311	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	INDIVIDUAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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