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

Individual provider Physician Assistant · NPI 1689765018

Lisa Marie Henson, PA-C is a Physician Assistant in Cooperstown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0114871 (NY)

Record details

NPI number1689765018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESApril 7, 2009

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