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Mrs. Lisa M Miranda, PA-C
Physician Assistant in Roseville, California
NPI 1144314766

Lisa M Miranda is a Physician Assistant based in Sacramento, CA. Lisa M Miranda practices in Roseville, CA and has the professional credentials of PA-C. The NPI Number for Lisa M Miranda is 1144314766 and holds a License No. PA1051 (California).

The current practice location address for Lisa M Miranda is 568 N Sunrise Ave Ste 250, Roseville, CA and can be reached out via phone at 916-865-1140.

Location: 568 N Sunrise Ave Ste 250, Roseville, CA, 95827-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144314766
Provider Name
Lisa M Miranda
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
568 N Sunrise Ave Ste 250, Roseville, CA, 95827-2539
Phone Number
916-865-1140
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970027904 01 TN RAILROAD MEDICARE
2000307 01 TN BCBS OF TN
TN0102 01 TN JOHN DEERE
3661837 05 TN
0140208 01 TN UNITED HEALTHCARE
621038898 01 TN TAX ID
FP62706 01 TN WORKERS COMP
institution
Provider Business Practice Location Address Details
Address
568 N Sunrise Ave Ste 250
City
Roseville
State
California
Zip
95661
Phone Number
916-865-1140
Fax Number
person
Provider Business Mailing Address Details
Address
568 N Sunrise Ave Ste 250
City
Roseville
State
California
Zip
95661
Phone Number
916-865-1140
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA15570 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA1051 (Tennessee)
Definition
Definition to come...
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