Lisa Michelle Matiaco in Republic - Physician Assistant
Lisa Michelle Matiaco - NPI 1154500536
Lisa Michelle Matiaco is a Physician Assistant in Republic, Washington. Lisa Michelle Matiaco practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Michelle Matiaco is 1154500536. The last update date is 2013-03-21.
Lisa Michelle Matiaco's current location address is 10 Ros Cir, Republic, Washington. You can contact this provider via phone number 5097753153 and fax number 5097758929. The mailing address for Lisa Michelle Matiaco is 10 Ros Cir, Republic, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Michelle Matiaco |
|---|---|
| Address | 10 Ros Cir, Republic, Washington |
| Phone Number | 5097753153 |
| Fax Number | 5097758929 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154500536 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 10 Ros Cir |
|---|---|
| City | Republic |
| State | Washington (WA) |
| Post Code | 991665002 |
| Phone Number | 5097753153 |
| Fax Number | 5097758929 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 identification code issued to Lisa Michelle Matiaco by the Centers for Medicare & Medicaid Services?
The Lisa Michelle Matiaco has been assigned the NPI (National Provider Identifier) 1154500536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Lisa Michelle Matiaco's facilities are geographically located?
The facilities of Lisa Michelle Matiaco are physically situated at the following location: 10 Ros Cir, Republic, WA, 991665002.
What is Lisa Michelle Matiaco'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 Lisa Michelle Matiaco is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154500536 to Lisa Michelle Matiaco?
The Centers for Medicare & Medicaid Services assigned the 1154500536 to Lisa Michelle Matiaco on 2007-11-01.
When was the information related to Lisa Michelle Matiaco most recently updated or refreshed?
The details pertaining to the Lisa Michelle Matiaco, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-21.