Lisa C Prentiss in Portland - Physician Assistant
Lisa C Prentiss - NPI 1881652642
Lisa C Prentiss is a Physician Assistant in Portland, Maine. Lisa C Prentiss practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa C Prentiss is 1881652642. The last update date is 2011-06-03.
Lisa C Prentiss's current location address is 22 Bramhall St, Portland, Maine. You can contact this provider via phone number 2076624618 and fax number 2076626254. The mailing address for Lisa C Prentiss is 22 Bramhall St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa C Prentiss |
|---|---|
| Address | 22 Bramhall St, Portland, Maine |
| Phone Number | 2076624618 |
| Fax Number | 2076626254 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881652642 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2011-06-03 |
Provider Mailing Address Detail
| Address | 22 Bramhall St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41027133 |
| Phone Number | 2076624618 |
| Fax Number | 2076626254 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA430 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Lisa C Prentiss by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa C Prentiss has been assigned the NPI (National Provider Identifier) 1881652642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Lisa C Prentiss is located?
The Lisa C Prentiss is situated at the following address: 22 Bramhall St, Portland, ME, 41027133.
What is Lisa C Prentiss's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa C Prentiss's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881652642 to Lisa C Prentiss?
The Centers for Medicare & Medicaid Services assigned the 1881652642 to Lisa C Prentiss on 2006-05-02.
As of what date were the Lisa C Prentiss's details last updated?
The information pertaining to the Lisa C Prentiss, including its address, specialty, and other details, was most recently updated on 2011-06-03.