Lisa D. Mahon in Syracuse - Physician Assistant

Lisa D. Mahon - NPI 1689667222

Lisa D. Mahon is a Physician Assistant in Syracuse, New York. Lisa D. Mahon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa D. Mahon is 1689667222. The last update date is 2011-07-19.

Lisa D. Mahon's current location address is 5719 Widewaters Pkwy, Syracuse, New York. You can contact this provider via phone number 3152513100 and fax number 3154499923. The mailing address for Lisa D. Mahon is 5719 Widewaters Pkwy, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa D. Mahon
Address 5719 Widewaters Pkwy, Syracuse, New York
Phone Number 3152513100
Fax Number 3154499923
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1689667222
Provider Enumeration Date 2005-08-30
Last Updated Date 2011-07-19

Provider Mailing Address Detail

Address 5719 Widewaters Pkwy
City Syracuse
State New York (NY)
Post Code 132141880
Phone Number 3152513100
Fax Number 3154499923

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8455
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 D. Mahon

What is the unique 10-digit identification code issued to Lisa D. Mahon by the Centers for Medicare & Medicaid Services?

The Lisa D. Mahon has been assigned the NPI (National Provider Identifier) 1689667222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Lisa D. Mahon?

The Lisa D. Mahon is situated at 5719 Widewaters Pkwy, in the city of Syracuse, state of NY, with the zip code 132141880.

Could you please share the complete physical address where Lisa D. Mahon is geographically located?

The Lisa D. Mahon is physically situated at the following location: 5719 Widewaters Pkwy, Syracuse, NY, 132141880.

What is Lisa D. Mahon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lisa D. Mahon is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689667222 to Lisa D. Mahon?

The Centers for Medicare & Medicaid Services originally issued the 1689667222 to Lisa D. Mahon on 2005-08-30.

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