Lisa Michelle Matiaco, PA-C
NPI #1154500536 in Republic, Washington
Provider Information
- NPI Number
- 1154500536
- Entity Type
- Individual
- Name
- Lisa Michelle Matiaco, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 1, 2007
- Last Updated
- Mar 21, 2013
Practice Location
- Address
- 10 ROS CIR
- City
- Republic
- State
- Washington
- ZIP Code
- 99166-5002
- Phone
- (509) 775-3153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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