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

Lisa M Waller, PAC

Individual provider Medical Physician Assistant · NPI 1851325831

Lisa M Waller, PAC is a Medical Physician Assistant in Atlanta, Georgia. Licensed in New Hampshire. Registered with an NPI since 2006.

Licensed in
NH
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1100 Lake Hearn Dr Ste #450
Atlanta, GA 30342
Phone: (404) 252-7339
Fax: (404) 257-0337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004516 (NH)

Record details

NPI number1851325831
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007

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