-- LISA M BLACK -- PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1205098811- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 111 COLCHESTER AVE UVM MEDICAL CENTER EMERGENCY DEPARTMENT, BURLINGTON, VT, 054011473
- Phone
- (802) 847-0000
Specialties & Taxonomies
Physician Assistant
Primary License: VT #055.0031258
All Addresses
LOCATION
111 COLCHESTER AVE UVM MEDICAL CENTER EMERGENCY DEPARTMENT
BURLINGTON, VT, 054011473