Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Dwello, PA

Individual provider Medical Physician Assistant · NPI 1811509276

Lisa Dwello, PA is a Physician Assistant in Watertown, New York. Qualified in 2020, 6 years ago. Practices with Planned Parenthood of the North Country New York, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

160 Stone St
Watertown, NY 13601-3261
Phone: (315) 788-8065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 025477 (NY)

Record details

NPI number1811509276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Planned Parenthood Of The North Country New York, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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