Lisa Montgomery in Russiaville - Physician Assistant

Lisa Montgomery - NPI 1639253347

Lisa Montgomery is a Physician Assistant in Russiaville, Indiana. Lisa Montgomery practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Montgomery is 1639253347. The last update date is 2021-03-24.

Lisa Montgomery's current location address is 3309 S 750 W, Russiaville, Indiana. You can contact this provider via phone number 7658832273. The mailing address for Lisa Montgomery is 3309 S 750 W, Russiaville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Montgomery
Address 3309 S 750 W, Russiaville, Indiana
Phone Number 7658832273
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1639253347
Provider Enumeration Date 2006-10-25
Last Updated Date 2021-03-24

Provider Mailing Address Detail

Address 3309 S 750 W
City Russiaville
State Indiana (IN)
Post Code 469799146
Phone Number 7658832273
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10000327
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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FAQs about Lisa Montgomery

What is the unique 10-digit identification code assigned to Lisa Montgomery by the Centers for Medicare & Medicaid Services?

The Lisa Montgomery has been issued the NPI (National Provider Identifier) 1639253347, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lisa Montgomery located?

The Lisa Montgomery is located at 3309 S 750 W, Russiaville, IN 469799146.

What is Lisa Montgomery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa Montgomery's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Lisa Montgomery receive the assignment of its 1639253347 from the Centers for Medicare & Medicaid Services?

The Lisa Montgomery was issued its 1639253347 by the Centers for Medicare & Medicaid Services on 2006-10-25.

When was the Lisa Montgomery's information last updated?

The Lisa Montgomery's information was last updated on 2021-03-24.

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