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NPI Code Detail

MEDICARE: LISA A PARKER PA-C

MEDICARE: LISA A PARKER 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
1363AS0400XSurgical Physician AssistantPA01006OR
2363AS0400XSurgical Physician AssistantPA60312114WA
3363AM0700XMedical Physician AssistantPA60312114WA

General Provider Information

NPI Number : 1396729349
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A PARKER PA-C
Provider Business Mailing Address
First Line : 325 9TH AVE
Second Line : BOX 359822
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-744-3347
Fax Number : 206-744-9331
Provider Business Practice Location Address
First Line : 325 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2499
Country : US
Telephone Number : 206-744-3347
Fax Number : 206-744-9331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 05/08/2025

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Directions to “ LISA A PARKER PA-C” Practice Location

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