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

LISA MARIE HATHAWAY, PA-C, RD

Active

LISA MARIE HATHAWAY, PA-C, RD is a Physician Assistant healthcare provider located in MISSOULA, Montana. NPI 1578152427 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MISSOULA, MT

Registration Details

NPI Number
1578152427
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2021 (5.5751481198508 yrs)
Last Updated
Oct 15, 2025
Licenses
MED-PAC-LIC-94043 (MT)
1176977 (NV)
86048867 (MT)

Practice Information

Address
2819 GREAT NORTHERN LOOP STE 100
MISSOULA, MT, 598081750
Browse MT providers · Browse ZIP 59808
Phone
4062823495
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Registered Dietitian

Other Physician Assistant Providers in MISSOULA, MT

Name Credential NPI
MICHAEL J. ROSSI PA-C 1588664791
JOSH BERNARD MOSER PAC 1548255813
MRS. JENIFER DARLENE CALDWELL PA C 1316933963
MR. DOUGLAS M. HENRY PA-C 1275512071
MR. LOUIS L WESTENFELDER PA-C 1518917418
MARK E PIRAK PA-C 1144277997
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.