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

Individual provider Physician Assistant · NPI 1093131690

Mrs. Lisa Ann Gardner, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2013, 13 years ago. Practices with University Orthopaedic Associates of Rochester, a 152-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2014
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

4901 Lac De Ville Blvd
Rochester, NY 14618-5647
Phone: (585) 275-5321
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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 017406 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 17406 (NY)

Record details

NPI number1093131690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2014
Last updated in NPPESMarch 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Orthopaedic Associates Of Rochester — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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