Active NPIIndividual provider

Lisa N Manning, PA

Physician Assistant in Brookline, Massachusetts

NPI Number1164904579
Practice location
1285 Beacon St, Brookline, MA 02446-5237
Fax
—
Last updated
October 18, 2022

Lisa Nicole Manning is a Physician Assistant based in Brookline, MA. Lisa Nicole Manning practices in Brookline, MA and has the professional credentials of PA. The NPI Number for Lisa Nicole Manning is 1164904579 and holds a License No. PA6689 (MA). The current practice location address for Lisa Nicole Manning is 1285 Beacon St, Brookline, MA 02446-5237 and can be reached out via phone at 617-751-6205.

Provider Profile Details

NPI Number
1164904579
Provider Name
Lisa Nicole Manning
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1285 Beacon St, Brookline, MA 02446-5237
Phone Number
617-751-6205
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2018
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1285 Beacon St
Brookline, MA 02446-5237
Zip
02446-5237
Phone Number
617-751-6205
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
440 Foley St
Somerville, MA 02145-1213
City
Somerville
State
MA
Zip
02145-1213
Phone Number
857-282-0777

License Information

License Number
PA6689
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lisa N Manning, PA?

The NPI number of Lisa N Manning, PA is 1164904579. It was assigned on August 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Lisa N Manning, PA?

Lisa N Manning, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6689.

Where does Lisa N Manning, PA practice?

The practice location is 1285 Beacon St, Brookline, MA 02446-5237. The office can be reached at 617-751-6205 (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 1164904579 directly on the NPPES registry website.

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