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Mrs. Lisa Laura Wall, PA
Physician Assistant in Vero Beach, Florida
NPI 1205085321

Lisa Laura Wall is a Physician Assistant based in Maitland, FL. Lisa Laura Wall practices in Vero Beach, FL and has the professional credentials of PA. The NPI Number for Lisa Laura Wall is 1205085321 and holds a License No. 25MP00107400 (Florida).

The current practice location address for Lisa Laura Wall is 3755 7Th Ter Ste 101, Vero Beach, FL and can be reached out via phone at 772-569-5056 and via fax at 772-562-5098.

Location: 3755 7Th Ter Ste 101, Vero Beach, FL, 32751-7172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205085321
Provider Name
Lisa Laura Wall
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3755 7Th Ter Ste 101, Vero Beach, FL, 32751-7172
Phone Number
772-569-5056
Fax Number
772-562-5098
Provider Enumeration Date
09/12/2008
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IM816Z 01 FL MEDICARE PTAN
017124100 05 FL
institution
Provider Business Practice Location Address Details
Address
3755 7Th Ter Ste 101
City
Vero Beach
State
Florida
Zip
32960-6531
Phone Number
772-569-5056
Fax Number
772-562-5098
person
Provider Business Mailing Address Details
Address
3755 7Th Ter Ste 101
City
Vero Beach
State
Florida
Zip
32960-6531
Phone Number
772-569-5056
Fax Number
772-562-5098
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
25MP00107400 (New Jersey)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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