Mrs. Lisa M Tkachenko, PA-C
Physician Assistant, Medical in Allentown, Pennsylvania
1023268505- Practice location
- 410 N Krocks RD, Allentown, PA 18106-9283
- Phone
- 888-982-8594
- Fax
- 888-920-1525
- Last updated
- July 31, 2024
Lisa M. Tkachenko is a Physician Assistant, Medical based in Allentown, PA. Lisa M. Tkachenko practices in Allentown, PA and has the professional credentials of PA-C. The NPI Number for Lisa M. Tkachenko is 1023268505 and holds a License No. MA053629 (PA). The current practice location address for Lisa M. Tkachenko is 410 N Krocks RD, Allentown, PA 18106-9283 and can be reached out via phone at 888-982-8594 and via fax at 888-920-1525.
Provider Profile Details
- NPI Number
- 1023268505
- Provider Name
- Lisa M. Tkachenko
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 410 N Krocks RD, Allentown, PA 18106-9283
- Phone Number
- 888-982-8594
- Fax Number
- 888-920-1525
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- Miss Liss M. Yingling, PA-C (Former Name)
- Provider Enumeration Date
- September 22, 2008
- Last Update Date
- July 31, 2024
- Certification Date
- July 31, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 410 N Krocks RD
Allentown, PA 18106-9283 - City
- Allentown
- State
- Pennsylvania
- Zip
- 18106-9283
- Phone Number
- 888-982-8594
- Fax Number
- 888-920-1525
Provider Business Mailing Address Details
- Address
- Po Box 159
Barrington, NJ 08007-0159 - City
- Barrington
- State
- NJ
- Zip
- 08007-0159
- Phone Number
- 484-884-4500
- Fax Number
- 484-884-0699
License Information
- License Number
- MA053629
- License State
- PA
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Lisa M Tkachenko, PA-C?
The NPI number of Mrs. Lisa M Tkachenko, PA-C is 1023268505. It was assigned on September 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lisa M Tkachenko, PA-C?
Mrs. Lisa M Tkachenko, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PA under license number MA053629.
Where does Mrs. Lisa M Tkachenko, PA-C practice?
The practice location is 410 N Krocks RD, Allentown, PA 18106-9283. The office can be reached at 888-982-8594 (phone) or 888-920-1525 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023268505 directly on the NPPES registry website.