- Practice location
- 1805 Tift Ave N Ste D, Tifton, GA 31794-3579
- Phone
- 229-382-5554
- Fax
- 229-382-0530
- Last updated
- June 13, 2024
Lisa M Buschlen is a Physician Assistant based in Tifton, GA. Lisa M Buschlen practices in Tifton, GA and has the professional credentials of PAC. The NPI Number for Lisa M Buschlen is 1295287043 and holds a License No. PA1673 (ME). The current practice location address for Lisa M Buschlen is 1805 Tift Ave N Ste D, Tifton, GA 31794-3579 and can be reached out via phone at 229-382-5554 and via fax at 229-382-0530.
Provider Profile Details
- NPI Number
- 1295287043
- Provider Name
- Lisa M Buschlen
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1805 Tift Ave N Ste D, Tifton, GA 31794-3579
- Phone Number
- 229-382-5554
- Fax Number
- 229-382-0530
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 27, 2016
- Last Update Date
- June 13, 2024
- Certification Date
- June 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1805 Tift Ave N Ste D
Tifton, GA 31794-3579 - City
- Tifton
- State
- Georgia
- Zip
- 31794-3579
- Phone Number
- 229-382-5554
- Fax Number
- 229-382-0530
Provider Business Mailing Address Details
- Address
- 1805 Tift Ave N Ste D
Tifton, GA 31794-3579 - City
- Tifton
- State
- GA
- Zip
- 31794-3579
- Phone Number
- 229-382-5554
- Fax Number
- 229-382-0530
License Information
- License Number (1)
- PA1673
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 12209
- License State (2)
- GA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Tifton, GA
View all Physician Assistants in Tifton →Frequently Asked Questions
What is the NPI number of Lisa M Buschlen, PAC?
The NPI number of Lisa M Buschlen, PAC is 1295287043. It was assigned on October 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Lisa M Buschlen, PAC?
Lisa M Buschlen, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1673.
Where does Lisa M Buschlen, PAC practice?
The practice location is 1805 Tift Ave N Ste D, Tifton, GA 31794-3579. The office can be reached at 229-382-5554 (phone) or 229-382-0530 (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 1295287043 directly on the NPPES registry website.