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NPI Code Detail

MEDICARE: ALICIA CHRISTY PA-C

MEDICARE:   ALICIA  CHRISTY  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 Assistant50.005945RXOH

General Provider Information

NPI Number : 1548829708
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CHRISTY PA-C
Provider Business Mailing Address
First Line : 25757 LORAIN RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-3370
Country : US
Telephone Number : 440-471-7083
Fax Number :
Provider Business Practice Location Address
First Line : 25757 LORAIN RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-3370
Country : US
Telephone Number : 440-471-7083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 06/11/2019

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Directions to “ ALICIA CHRISTY PA-C” Practice Location

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