Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA LIANE DIMODICA, PA
ActiveLISA LIANE DIMODICA, PA is a Physician Assistant healthcare provider located in SAN LUIS OBISPO, California. NPI 1669617015 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1669617015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2008 (17.489541165835 yrs)
- Last Updated
- Dec 12, 2008
- License
-
PA14335 (CA)
Practice Information
- Address
-
47 SANTA ROSA STSAN LUIS OBISPO, CA, 934055816Browse CA providers · Browse ZIP 93405
- Phone
- 8055429596
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| ERIC HIXON | PA | 1841276409 |
| JULIA ELIZABETH DAVISON | PA-C | 1235116955 |
| MARK J HOLLIS | PA C | 1902873748 |
| GARY MITCHELL WESTBROCK | PA | 1053371377 |
| MS. ANNE E BARNETT | PA | 1811948235 |
| JACQUALINE J. DANCY | PA-C | 1073558748 |
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.