Lisa E Hicks, PA-C

NPI #1285474973 in Basalt, Colorado

Provider Information

NPI Number
1285474973
Entity Type
Individual
Name
Lisa E Hicks, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 29, 2024
Last Updated
Aug 5, 2024

Practice Location

Address
123 EMMA RD STE 106
City
Basalt
ZIP Code
81621-9169
Phone
(970) 945-2840

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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