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LISA B PAULSON, PA-C – NPI #1730505322
Surgical

NPI Profile for LISA B PAULSON in APO, AP.

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Contact Information

LISA B PAULSON, PA-C
374 MDG
UNIT 5071
APO, AP  96328
 Phone: 315-225-5079
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LISA B PAULSON · (Female)

NPI # 1730505322
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/07/2014
Last updated 09/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # CAPA54517
Hospital affiliation(s) Not Available
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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