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Contact Information

LISA M PEARSON, PA-C
1 BLACHLEY RD
STAMFORD, CT06902-0002
 Phone: 203-705-0715
 Fax: 203-705-0717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA M PEARSON · (Female)

NPI # 1497928931
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/04/2008
Last updated 10/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3649
  • NY License # 013905
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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