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NPI Code Detail

MEDICARE: LISA YVONNE NEGRETE PA-C

MEDICARE: LISA YVONNE NEGRETE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00838TX

General Provider Information

NPI Number : 1740332154
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA YVONNE NEGRETE PA-C
Provider Business Mailing Address
First Line : 9011 DARLINA DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-5901
Country : US
Telephone Number : 915-253-4105
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-569-3219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 03/18/2026

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Directions to “ LISA YVONNE NEGRETE PA-C” Practice Location

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