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NPI Code Detail

MEDICARE: LISA J KARVONEN PA-C

MEDICARE: LISA J KARVONEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA 9103265FL

General Provider Information

NPI Number : 1891825972
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA J KARVONEN PA-C
Provider Business Mailing Address
First Line : 1805 AUTUMNBROOK LN
Second Line :
City : SAINT JOHNS
State : FL
Zip : 32259-8904
Country : US
Telephone Number : 904-629-9090
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-202-1083
Fax Number : 904-202-3393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 12/05/2025

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Directions to “ LISA J KARVONEN PA-C” Practice Location

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