NPI 1003439936

Lisa Petricca, PAC

Practitioner Medical Physician Assistant Farmington, CT

Practice location

Address: 263 Farmington Avenue, Farmington, CT 06030-8040
Phone: (860) 679-2100
Fax: (860) 679-4815

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 004952 (CT)

Other Physician Assistant providers in Connecticut →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003439936
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2020
Record last updated: 14 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.