person
Lysa Samuel, PA
Medical Physician Assistant in Oakland, California
NPI 1174737423

Lysa Samuel is a Medical Physician Assistant based in Oakland, CA and is specialized in Medical. Lysa Samuel practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Lysa Samuel is 1174737423 and holds a License No. PA16296 (California).

The current practice location address for Lysa Samuel is 3100 Telegraph Ave, Oakland, CA and can be reached out via phone at 510-645-9900 and via fax at 510-645-9919.

Location: 3100 Telegraph Ave, Oakland, CA, 94609
person
Provider Profile Details
NPI Number
1174737423
Provider Name
Lysa Samuel
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3100 Telegraph Ave, Oakland, CA, 94609
Phone Number
510-645-9900
Fax Number
510-645-9919
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609
Phone Number
510-645-9900
Fax Number
510-645-9919
person
Provider Business Mailing Address Details
Address
3100 Telegraph Ave
City
State
Zip
94609
Phone Number
510-645-9900
Fax Number
510-645-9919
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16296 ()
Definition
Definition to come...
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