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Lisa Lynn Passalacqua, PA-C
Medical Physician Assistant in Santa Ana, California
NPI 1275140550

Lisa Lynn Passalacqua is a Medical Physician Assistant based in Santa Ana, CA and is specialized in Medical. Lisa Lynn Passalacqua practices in Santa Ana, CA and has the professional credentials of PA-C. The NPI Number for Lisa Lynn Passalacqua is 1275140550 and holds a License No. 58543 (California).

The current practice location address for Lisa Lynn Passalacqua is 210 N Tustin Ave, Santa Ana, CA and can be reached out via phone at 888-959-5192.

Location: 210 N Tustin Ave, Santa Ana, CA, 92705-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275140550
Provider Name
Lisa Lynn Passalacqua
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
210 N Tustin Ave, Santa Ana, CA, 92705-3807
Phone Number
888-959-5192
Fax Number
Provider Enumeration Date
09/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 N Tustin Ave
City
Santa Ana
State
California
Zip
92705-3807
Phone Number
888-959-5192
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Tustin Ave
City
Santa Ana
State
California
Zip
92705-3807
Phone Number
888-959-5192
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
58543 (California)
Definition
Definition to come...
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