Georgann Gervasi-Lyttken in Fremont - Medical
Georgann Gervasi-Lyttken - NPI 1295952034
Georgann Gervasi-Lyttken is a Medical in Fremont, California. Georgann Gervasi-Lyttken practices all healthcare services and medical treatments related to Medical. The NPI Number for Georgann Gervasi-Lyttken is 1295952034. The last update date is 2016-05-16.
Georgann Gervasi-Lyttken's current location address is 2333 Mowry Ave, Fremont, California. You can contact this provider via phone number 5107922012 and fax number 5107927986. The mailing address for Georgann Gervasi-Lyttken is 2333 Mowry Ave, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgann Gervasi-Lyttken |
|---|---|
| Address | 2333 Mowry Ave, Fremont, California |
| Phone Number | 5107922012 |
| Fax Number | 5107927986 |
| Sole Proprietor | N |
| Credentials | PA-C, R.D. |
NPI Number Detail
| NPI Number | 1295952034 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 2333 Mowry Ave |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381625 |
| Phone Number | 5107922012 |
| Fax Number | 5107927986 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA13704 | CA | PHYSICIAN ASSIST. LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Georgann Gervasi-Lyttken by the Centers for Medicare & Medicaid Services?
The Georgann Gervasi-Lyttken has been issued the NPI (National Provider Identifier) 1295952034 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Georgann Gervasi-Lyttken?
The Georgann Gervasi-Lyttken is situated at 2333 Mowry Ave, in the city of Fremont, state of CA, with the zip code 945381625.
What is Georgann Gervasi-Lyttken's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgann Gervasi-Lyttken's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Georgann Gervasi-Lyttken receive its 1295952034 assignment from the Centers for Medicare & Medicaid Services?
The Georgann Gervasi-Lyttken was assigned its 1295952034 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details related to Georgann Gervasi-Lyttken most recently updated or revised?
The information pertaining to Georgann Gervasi-Lyttken, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-16.