Individual provider · NPI-1
Lisa M Alexia, PA-C
Physician Assistant · Anchorage, AK
NPI number1508137217
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1508137217
- Entity type
- Individual (NPI-1)
- Name
- Lisa M Alexia
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2012
- Certification date
- Jul 29, 2020
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1076 | AK | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 363A00000X | Physician Assistant | 2224 | AK |
Practice location
1400 W Benson Blvd Ste 315Anchorage, AK 99503-3677
Phone 907-929-4009 · Fax 907-929-4902
Mailing address
1400 W Benson Blvd Ste 315Anchorage, AK 99503-3677
Phone 907-929-4009 · Fax 907-929-4902
Other practice locations
4341 Tudor Centre Dr
Anchorage, AK 99508-5904
Anchorage, AK 99508-5904
Phone 907-729-2500 · Fax 907-729-8552
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