Lisbon Medical Group in Lisbon - Physician Assistant
Lisbon Medical Group - NPI 1871780379
Lisbon Medical Group is a Physician Assistant in Lisbon, New York. Lisbon Medical Group practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisbon Medical Group is 1871780379. The last update date is 2007-09-28.
Lisbon Medical Group's current location address is Po Box 176, Lisbon, New York. You can contact this provider via phone number 3153933227 and fax number 3153931322. The mailing address for Lisbon Medical Group is Po Box 176, Lisbon, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisbon Medical Group |
|---|---|
| Address | Po Box 176, Lisbon, New York |
| Phone Number | 3153933227 |
| Fax Number | 3153931322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Winney J Alan |
| Credentials | PA |
| Telephone Number | 3153933227 |
NPI Number Detail
| NPI Number | 1871780379 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | Po Box 176 |
|---|---|
| City | Lisbon |
| State | New York (NY) |
| Post Code | 136580176 |
| Phone Number | 3153933227 |
| Fax Number | 3153931322 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 374 |
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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 |
|---|---|---|---|
| 637903 | NY | -- |
Post Comment/ Review Below
What is the Lisbon Medical Group's 1871780379?
The Lisbon Medical Group's NPI (National Provider Identifier) Number is 1871780379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisbon Medical Group's facilities are geographically located?
The facilities of Lisbon Medical Group are physically situated at the following location: Po Box 176, Lisbon, NY, 136580176.
What is the Lisbon Medical Group's area of specialization and corresponding taxonomy classification?
The Lisbon Medical Group's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Lisbon Medical Group's 1871780379 issued?
The Lisbon Medical Group's 1871780379 was issued on 2007-09-28.
When was the information pertaining to Lisbon Medical Group most recently updated or revised?
The details related to Lisbon Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-28.