National Provider Identifier
Lianna Marie Carroll, PA
Lianna Marie Carroll, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 712-0851.
Profile Overview
- NPI
- 1659873776
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 05, 2018
- Last Updated
- January 16, 2020
Practice Location
- 1026 Union Road
- West Seneca, NY 14224
Phone: (716) 712-0851
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1659873776
- Entity Type
- Individual
- Last Name
- Carroll
- First Name
- Lianna
- Middle Name
- Marie
- Credential
- PA
- Provider Other Last Name
- Ferger
- Provider Other First Name
- Lianna
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1026 Union Road
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Mailing Phone
- (716) 712-0851
- Mailing Fax
- (716) 712-0853
- Practice Street Address
- 1026 Union Road
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224
- Practice Country
- US
- Practice Phone
- (716) 712-0851
- Practice Fax
- (716) 712-0853
- Enumeration Date
- March 05, 2018
- Last Updated
- January 16, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 05215581 (NY)