Ms. Lisa M Macknair, PA-C
Physician Assistant, Medical in Worcester, Massachusetts
1033469648- Practice location
- 630 Plantation St Fl St12, Worcester, MA 01605-2038
- Phone
- 774-261-1356
- Fax
- —
- Last updated
- September 3, 2025
Lisa M Macknair is a Physician Assistant, Medical based in Worcester, MA. Lisa M Macknair practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Lisa M Macknair is 1033469648 and holds a License No. PA4505 (MA). The current practice location address for Lisa M Macknair is 630 Plantation St Fl St12, Worcester, MA 01605-2038 and can be reached out via phone at 774-261-1356.
Provider Profile Details
- NPI Number
- 1033469648
- Provider Name
- Lisa M Macknair
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 630 Plantation St Fl St12, Worcester, MA 01605-2038
- Phone Number
- 774-261-1356
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Lisa M Shubert, PA (Former Name)
- Provider Enumeration Date
- September 12, 2012
- Last Update Date
- September 3, 2025
- Certification Date
- September 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 Plantation St Fl St12
Worcester, MA 01605-2038 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2038
- Phone Number
- 774-261-1356
Provider Business Mailing Address Details
- Address
- 460 Southbridge St
Readymed
Auburn, MA 01501-2442 - City
- Auburn
- State
- MA
- Zip
- 01501-2442
- Phone Number
- 774-221-5135
- Fax Number
- 774-221-5136
License Information
- License Number (1)
- PA4505
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- PA4505
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Lisa M Macknair, PA-C?
The NPI number of Ms. Lisa M Macknair, PA-C is 1033469648. It was assigned on September 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Lisa M Macknair, PA-C?
Ms. Lisa M Macknair, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA4505.
Where does Ms. Lisa M Macknair, PA-C practice?
The practice location is 630 Plantation St Fl St12, Worcester, MA 01605-2038. The office can be reached at 774-261-1356 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033469648 directly on the NPPES registry website.