Lia Back is a Physician Assistant in Lexington, Kentucky. Lia Back practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lia Back is 1669486197. The last update date is 2023-05-24.
Lia Back's current location address is 1221 S Broadway, Lexington, Kentucky. You can contact this provider via phone number 8592586200 and fax number 8592586203. The mailing address for Lia Back is 1221 S Broadway, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lia Back |
|---|---|
| Address | 1221 S Broadway, Lexington, Kentucky |
| Phone Number | 8592586200 |
| Fax Number | 8592586203 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1669486197 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 1221 S Broadway |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405042701 |
| Phone Number | 8592586200 |
| Fax Number | 8592586203 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA435 |
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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 |
|---|---|---|---|
| 412840162 | IN | MEDICARE | |
| 7100097340 | KY | -- | |
| 300026152 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lia Back by the Centers for Medicare & Medicaid Services?
The Lia Back has been assigned the NPI (National Provider Identifier) 1669486197. 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 Lia Back?
The Lia Back is situated at 1221 S Broadway, in the city of Lexington, state of KY, with the zip code 405042701.
What is the Lia Back's area of specialization and corresponding taxonomy classification?
The Lia Back's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Lia Back receive its 1669486197 assignment?
The Lia Back was assigned its 1669486197 on 2006-07-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lia Back most recently updated?
The details pertaining to the Lia Back, including its address, specialty, and other relevant information, were last refreshed on 2023-05-24.