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Lisa Marie Hathaway, PA-C,RD
Physician Assistant in Missoula, Montana
NPI 1578152427

Lisa Marie Hathaway is a Physician Assistant based in Liberty Lake, MT. Lisa Marie Hathaway practices in Missoula, MT and has the professional credentials of PA-C,RD. The NPI Number for Lisa Marie Hathaway is 1578152427 and holds a License No. 1176977 (Montana).

The current practice location address for Lisa Marie Hathaway is 601 W Spruce St Ste J, Missoula, MT and can be reached out via phone at 406-327-3350 and via fax at 406-327-3355.

Location: 601 W Spruce St Ste J, Missoula, MT, 99019-0012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578152427
Provider Name
Lisa Marie Hathaway
Credential
PA-C,RD
Provider Entity Type
Individual
Gender
Female
Address
601 W Spruce St Ste J, Missoula, MT, 99019-0012
Phone Number
406-327-3350
Fax Number
406-327-3355
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 W Spruce St Ste J
City
Missoula
State
Montana
Zip
59802-4047
Phone Number
406-327-3350
Fax Number
406-327-3355
person
Provider Business Mailing Address Details
Address
601 W Spruce St Ste J
City
Missoula
State
Montana
Zip
59802-4047
Phone Number
406-327-3350
Fax Number
406-327-3355
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
MED-PAC-LIC-94043 (Montana)
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.
1176977 (Nevada)
Definition
Definition to come...
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