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LISA MEDWEDEFF M.D. PA NPI 1982843769


NPI Information

NPI: 1982843769
Provider Name: LISA MEDWEDEFF M.D. PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5425 W SPRING CREEK PKWY
STE 210
PLANO, TX
ZIP 75024
Phone: (972) 608-3333
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LISA MEDWEDEFF M.D. PA is a specialist in Plano, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LISA MEDWEDEFF M.D. PA NPI is 1982843769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5425 W SPRING CREEK PKWY
STE 210
PLANO, TX
ZIP 75024-236
Phone: (972) 608-3333
Fax: (972) 473-7333

The provider's authorized official is Lisa E Medwedeff .
The authorized official title is Physician/owner and has the following contact phone number (972) 608-3333.

The enumeration date for this NPI number is 2/18/2009 and was last updated on 7/10/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistK1257TEXASYes

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: 4/28/2024

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