Marcy D Lisota in Rochester - Physician Assistant
Marcy D Lisota - NPI 1629051347
Marcy D Lisota is a Physician Assistant in Rochester, Minnesota. Marcy D Lisota practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marcy D Lisota is 1629051347. The last update date is 2022-03-23.
Marcy D Lisota's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 6087850940. The mailing address for Marcy D Lisota is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcy D Lisota |
|---|---|
| Address | 200 1st St Sw, Rochester, Minnesota |
| Phone Number | 6087850940 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1629051347 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 200 1st St Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559050001 |
| Phone Number | 6087850940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9180 |
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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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What is the unique 10-digit identifier code issued to Marcy D Lisota by the Centers for Medicare & Medicaid Services?
The Marcy D Lisota has been assigned the NPI (National Provider Identifier) 1629051347 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Marcy D Lisota is geographically located?
The Marcy D Lisota is physically situated at the following location: 200 1St St Sw, Rochester, MN, 559050001.
What is Marcy D Lisota'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 Marcy D Lisota is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Marcy D Lisota receive its 1629051347 assignment from the Centers for Medicare & Medicaid Services?
The Marcy D Lisota was assigned its 1629051347 by the Centers for Medicare & Medicaid Services on 2005-11-28.
When was the information related to Marcy D Lisota most recently updated or refreshed?
The details pertaining to the Marcy D Lisota, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-23.