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

Lisa J George, PA-C

Individual provider Physician Assistant · NPI 1134771496

Lisa J George, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

395 W Cougar Blvd Ste 704
Provo, UT 84604-3333
Phone: (801) 357-3242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 972 N 600 E, Spanish Fork, UT 84660-1306 — (801) 465-4896

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7458342-1206 (UT)

Record details

NPI number1134771496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

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 Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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