Alexia, Lisa M
Alexia, Lisa M is an individual health care provider with primary practice located at 1400 W Benson Blvd Ste 315 , Anchorage AK 99503-3677. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Alexia, Lisa M can be contacted via phone (907) 929-4009.Contact Information
Primary practice address
1400 W Benson Blvd Ste 315
Anchorage AK 99503-3677
Phone: (907) 929-4009
Fax: (907) 929-4902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2224 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1076 | Alaska |
Profile Details
NPI number | 1508137217 |
---|---|
LBN Legal business name | Alexia, Lisa M |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2012 |
Last updated | Feb 24th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508137217 | NPPES |
Alaska | MEDICAID | MDH0105 |
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