NPI 1164904579

Lisa Nicole Manning, PA

Practitioner Physician Assistant Brookline, MA

Practice location

Address: 1285 Beacon St, Brookline, MA 02446-5237
Phone: (617) 751-6205
Mailing address: 440 Foley St, Somerville, MA 02145-1213

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA6689 (MA)

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Registry record

NPI: 1164904579
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2018
Record last updated: 18 Oct 2022

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.