Active NPIIndividual provider

Ms. Lisa R Borge, PA

Physician Assistant, Medical in Providence, Rhode Island

NPI Number1780870691
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-8158
Last updated
May 24, 2024

Lisa R Borge is a Physician Assistant, Medical based in Providence, RI. Lisa R Borge practices in Providence, RI and has the professional credentials of PA. The NPI Number for Lisa R Borge is 1780870691 and holds a License No. PA00324 (RI). The current practice location address for Lisa R Borge is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5891 and via fax at 401-444-8158.

Provider Profile Details

NPI Number
1780870691
Provider Name
Lisa R Borge
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-5891
Fax Number
401-444-8158
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2007
Last Update Date
May 24, 2024
Certification Date
May 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-5891
Fax Number
401-444-8158
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541

License Information

License Number
PA00324
License State
RI
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Ms. Lisa R Borge, PA?

The NPI number of Ms. Lisa R Borge, PA is 1780870691. It was assigned on September 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa R Borge, PA?

Ms. Lisa R Borge, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00324.

Where does Ms. Lisa R Borge, PA practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5891 (phone) or 401-444-8158 (fax).

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 1780870691 directly on the NPPES registry website.

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