Lisa Wanger is a Physician Assistant in Aurora, Colorado. Lisa Wanger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Wanger is 1841288065. The last update date is 2011-02-04.
Lisa Wanger's current location address is 13123 E 16th Ave, Aurora, Colorado. You can contact this provider via phone number 7207771234. The mailing address for Lisa Wanger is 13123 E 16th Ave, Aurora, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Wanger |
|---|---|
| Address | 13123 E 16th Ave, Aurora, Colorado |
| Phone Number | 7207771234 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841288065 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2011-02-04 |
Provider Mailing Address Detail
| Address | 13123 E 16th Ave |
|---|---|
| City | Aurora |
| State | Colorado (CO) |
| Post Code | 800457106 |
| Phone Number | 7207771234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1751 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99531577 | CO | -- |
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What is the unique identifier code issued to Lisa Wanger by the Centers for Medicare & Medicaid Services?
The Lisa Wanger has been assigned the NPI (National Provider Identifier) 1841288065. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Wanger?
The Lisa Wanger is situated at 13123 E 16Th Ave, in the city of Aurora, state of CO, with the zip code 800457106.
What is Lisa Wanger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Wanger is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841288065 to Lisa Wanger?
The Lisa Wanger received its 1841288065 assignment from the Centers for Medicare & Medicaid Services on 2005-10-11.
When was the information regarding Lisa Wanger most recently updated?
The details pertaining to the Lisa Wanger, including its address, specialty, and other relevant information, were last refreshed on 2011-02-04.
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