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

Lisa Marie Service, PA-C

Individual provider Community Health Worker · NPI 1598031015

Lisa Marie Service, PA-C is a Community Health Worker in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
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

15507 NW 67th Ave
Miami Lakes, FL 33014-2108
Phone: (305) 821-8611
Fax: (305) 827-1753
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 9105791 (FL)
Community Health Worker Taxonomy 172V00000X · Licence 9105791 (FL)

Record details

NPI number1598031015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2012
Last updated in NPPESAugust 16, 2019

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