Carol Luisa Grant-Dougherty in Lancaster - Physician Assistant
Carol Luisa Grant-Dougherty - NPI 1114037579
Carol Luisa Grant-Dougherty is a Physician Assistant in Lancaster, California. Carol Luisa Grant-Dougherty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carol Luisa Grant-Dougherty is 1114037579. The last update date is 2008-09-05.
Carol Luisa Grant-Dougherty's current location address is Po Box 7007, Lancaster, California. You can contact this provider via phone number 6619455984 and fax number 6619513357. The mailing address for Carol Luisa Grant-Dougherty is Po Box 7007, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carol Luisa Grant-Dougherty |
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Address | Po Box 7007, Lancaster, California |
Phone Number | 6619455984 |
Fax Number | 6619513357 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1114037579 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2008-09-05 |
Provider Mailing Address Detail
Address | Po Box 7007 |
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City | Lancaster |
State | California (CA) |
Post Code | 935397007 |
Phone Number | 6619455984 |
Fax Number | 6619513357 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA11959 |
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 identifier code issued to Carol Luisa Grant-Dougherty by the Centers for Medicare & Medicaid Services?
The Carol Luisa Grant-Dougherty has been assigned the NPI (National Provider Identifier) 1114037579. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carol Luisa Grant-Dougherty?
The Carol Luisa Grant-Dougherty is physically situated at Po Box 7007, in the city of Lancaster, state of CA, with the postal code 935397007.
What is Carol Luisa Grant-Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carol Luisa Grant-Dougherty is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114037579 to Carol Luisa Grant-Dougherty?
The Centers for Medicare & Medicaid Services assigned the 1114037579 to Carol Luisa Grant-Dougherty on 2006-08-30.
When was the information regarding Carol Luisa Grant-Dougherty most recently updated?
The details pertaining to the Carol Luisa Grant-Dougherty, including its address, specialty, and other relevant information, were last refreshed on 2008-09-05.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY