Lisa Lya Pacheco in Missoula - Neuromusculoskeletal Medicine & Omm

Lisa Lya Pacheco - NPI 1174661011

Lisa Lya Pacheco is a Neuromusculoskeletal Medicine & Omm in Missoula, Montana. Lisa Lya Pacheco practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Lisa Lya Pacheco is 1174661011. The last update date is 2018-08-15.

Lisa Lya Pacheco's current location address is 805 S Reserve St, Missoula, Montana. You can contact this provider via phone number 4065496600 and fax number 4065491511. The mailing address for Lisa Lya Pacheco is 805 S Reserve St, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Lya Pacheco
Address 805 S Reserve St, Missoula, Montana
Phone Number 4065496600
Fax Number 4065491511
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1174661011
Provider Enumeration Date 2007-02-02
Last Updated Date 2018-08-15

Provider Mailing Address Detail

Address 805 S Reserve St
City Missoula
State Montana (MT)
Post Code 598012104
Phone Number 4065496600
Fax Number 4065491511

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 1440
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31093 ANTHEM

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FAQs about Lisa Lya Pacheco

What is the unique identification code assigned to Lisa Lya Pacheco by the Centers for Medicare & Medicaid Services?

The Lisa Lya Pacheco has been issued the NPI (National Provider Identifier) 1174661011. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lisa Lya Pacheco is physically located?

The Lisa Lya Pacheco is physically situated at the following address: 805 S Reserve St, Missoula, MT, 598012104.

What is Lisa Lya Pacheco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lisa Lya Pacheco is Neuromusculoskeletal Medicine & Omm, and the taxonomy code that classifies this field of practice is 204D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174661011 to Lisa Lya Pacheco?

The Lisa Lya Pacheco received its 1174661011 assignment from the Centers for Medicare & Medicaid Services on 2007-02-02.

When was the information pertaining to Lisa Lya Pacheco most recently updated or revised?

The details related to Lisa Lya Pacheco, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-15.

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