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NPI Code Detail

MEDICARE: LISA TOWNSEND RPA-C

MEDICARE: LISA TOWNSEND RPA-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 Assistant004326NY
2363AM0700XMedical Physician AssistantPA9115253FL

General Provider Information

NPI Number : 1154386654
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA TOWNSEND RPA-C
Provider Business Mailing Address
First Line : 200 S PARK RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8592
Country : US
Telephone Number : 866-986-2263
Fax Number :
Provider Business Practice Location Address
First Line : 200 S PARK RD STE 200
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8541
Country : US
Telephone Number : 866-986-2263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 12/21/2022

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Directions to “ LISA TOWNSEND RPA-C” Practice Location

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