LISA DAWN ECKHARDT PA-C NPI 1366729279

NPI Information

NPI: 1366729279
Provider Name: LISA DAWN ECKHARDT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5460 MAIN ST STE 102
DEL CITY, OK
ZIP 73115
Phone: (405) 610-6998
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Lisa Dawn Eckhardt, PA-C is a medical physician assistant in Del City, OK. Lisa Dawn Eckhardt, PA-C NPI is 1366729279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5460 MAIN ST STE 102
DEL CITY, OK
ZIP 73115-525
Phone: (405) 610-6998

The enumeration date for this NPI number is 11/5/2011 and was last updated on 8/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	10001357A	INDIANA	No
2	363AM0700X	Physician Assistant	Medical	2015007864	MISSOURI	No
3	363AM0700X	Physician Assistant	Medical	085004016	ILLINOIS	No
4	363AM0700X	Physician Assistant	Medical	2550	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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