Lysa Samuel, PA
NPI #1174737423 in Oakland, California
Provider Information
- NPI Number
- 1174737423
- Entity Type
- Individual
- Name
- Lysa Samuel, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- May 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3100 TELEGRAPH AVE
- Address 2
- #2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
- City
- Oakland
- State
- California
- ZIP Code
- 94609
- Phone
- (510) 645-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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