MEDICARE: LISA DAWN ECKHARDT 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
1	363AM0700X	Medical Physician Assistant	10001357A	IN
2	363AM0700X	Medical Physician Assistant	2015007864	MO
3	363AM0700X	Medical Physician Assistant	085004016	IL
4	363AM0700X	Medical Physician Assistant	2550	OK

General Provider Information

NPI Number	:	1366729279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA DAWN ECKHARDT PA-C

Provider Business Mailing Address
First Line	:	PO BOX 810
Second Line	:
City	:	WARRENSBURG
State	:	MO
Zip	:	64093-0280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5460 MAIN ST STE 102
Second Line	:
City	:	DEL CITY
State	:	OK
Zip	:	73115-5525
Country	:	US
Telephone Number	:	405-610-6998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2011
Last Update Date	:	08/29/2019

Similar Medicare Providers

1013353440 — OKLAHOMA PAIN INSTITUTE PLLC
Practice Location Address:

5460 MAIN ST STE 100
DEL CITY, OK
73115-5525

Practice Phone: 405-733-5900
Practice Fax: 405-733-5905

1235858416 — DELANA MICHELLE RODGERS APRN-FNP-C
Practice Location Address:

5460 MAIN ST STE 100
DEL CITY, OK
73115-5525

Practice Phone: 405-733-5900
Practice Fax: 405-733-5905

1861641961 — MATTHEW J BOECKMAN MD
Practice Location Address:

5460 MAIN ST STE 100
DEL CITY, OK
73115-5525

Practice Phone: 405-733-5900
Practice Fax: 405-733-5905

1588194054 — MID STAR LAB INC
Practice Location Address:

5460 MAIN ST STE 106
DEL CITY, OK
73115-5525

Practice Phone: 844-675-6757
Practice Fax: 844-409-6687

1538767363 — PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
Practice Location Address:

5460 MAIN ST STE 102
DEL CITY, OK
73115-5525

Practice Phone: 615-468-3188
Practice Fax: 405-610-3431

1306802921 — DR. JOHN J ADLER D.P.M.
Practice Location Address:

1722 DEL PRADO BLVD S , SUITE 12
CAPE CORAL, FL
33990-5525

Practice Phone: 239-573-9200
Practice Fax: 239-573-9204

Directions to “ LISA DAWN ECKHARDT PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.