Lisa K Nielsen in Peoria - Surgical

Lisa K Nielsen - NPI 1982688669

Lisa K Nielsen is a Surgical in Peoria, Illinois. Lisa K Nielsen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lisa K Nielsen is 1982688669. The last update date is 2020-02-25.

Lisa K Nielsen's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929898 and fax number 3096929055. The mailing address for Lisa K Nielsen is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa K Nielsen
Address 7309 N Knoxville Ave, Peoria, Illinois
Phone Number 3096929898
Fax Number 3096929055
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1982688669
Provider Enumeration Date 2005-12-06
Last Updated Date 2020-02-25

Provider Mailing Address Detail

Address 7309 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 616142085
Phone Number 3096929898
Fax Number 3096929055

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 85000333
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Lisa K Nielsen

What is the Lisa K Nielsen's 1982688669?

The Lisa K Nielsen's NPI (National Provider Identifier) Number is 1982688669. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lisa K Nielsen is geographically located?

The Lisa K Nielsen is physically situated at the following location: 7309 N Knoxville Ave, Peoria, IL, 616142085.

What is Lisa K Nielsen's area of expertise and its corresponding taxonomy classification?

The Lisa K Nielsen's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982688669 to Lisa K Nielsen?

The Centers for Medicare & Medicaid Services originally issued the 1982688669 to Lisa K Nielsen on 2005-12-06.

As of what date was the information regarding Lisa K Nielsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa K Nielsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-25.

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