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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508137217 NPPES
Alaska MEDICAID MDH0105

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