DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA LYA PACHECO, DO

Active Sole Proprietor

DR. LISA LYA PACHECO, DO is a Electrodiagnostic Medicine healthcare provider located in MISSOULA, Montana. NPI 1174661011 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · MISSOULA, MT

Registration Details

NPI Number
1174661011
Provider Type
Individual
Gender
Female
NPI Issued
Feb 2, 2007 (19.342049641889 yrs)
Last Updated
Aug 15, 2018
Licenses
1440 (ME)
11801 (MT)
Sole Proprietor
Yes

Practice Information

Address
805 S RESERVE ST
MISSOULA, MT, 59801
Browse MT providers · Browse ZIP 59801
Phone
4065496600
Fax
4065491511
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine

Other Electrodiagnostic Medicine Providers in MISSOULA, MT

Name Credential NPI
DR. CHRISTOPHER THOMAS CALDWELL DO 1871571364
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.