LYSA SAMUEL PA NPI 1174737423

NPI Information

Lysa Samuel, PA is a medical physician assistant in Oakland, CA. Lysa Samuel, PA NPI is 1174737423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 TELEGRAPH AVE
#2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
OAKLAND, CA
ZIP 94609
Phone: (510) 645-9900
Fax: (510) 645-9919

The NPI 1174737423 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.

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:

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