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Sean Ervin Lisk, PA-C
Medical Physician Assistant in New Haven, Connecticut
NPI 1104252972

Sean Ervin Lisk is a Medical Physician Assistant based in South Salem, CT and is specialized in Medical. Sean Ervin Lisk practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Sean Ervin Lisk is 1104252972 and holds a License No. PA1495 (Connecticut).

The current practice location address for Sean Ervin Lisk is 20 York St, New Haven, CT and can be reached out via phone at 203-688-2615.

Location: 20 York St, New Haven, CT, 10590-1615
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Provider Profile Details
NPI Number
1104252972
Provider Name
Sean Ervin Lisk
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
20 York St, New Haven, CT, 10590-1615
Phone Number
203-688-2615
Fax Number
Provider Enumeration Date
09/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104252972 05 ME
institution
Provider Business Practice Location Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-688-2615
Fax Number
person
Provider Business Mailing Address Details
Address
20 York St
City
State
Zip
06510-3220
Phone Number
203-688-2615
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1495 (Maine)
Definition
Definition to come...
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