person
Lisa C Degen, PA-C
Medical Physician Assistant in Grand Island, Nebraska
NPI 1639308893

Lisa C Degen is a Medical Physician Assistant based in Grand Island, NE and is specialized in Medical. Lisa C Degen practices in Grand Island, NE and has the professional credentials of PA-C. The NPI Number for Lisa C Degen is 1639308893 and holds a License No. 1453 (Nebraska).

The current practice location address for Lisa C Degen is 3563 Prairieview St Ste 300, Grand Island, NE and can be reached out via phone at 308-381-0162 and via fax at 308-389-4445. You can also correspond with Lisa C Degen through the mailing address at PO BOX 9802, GRAND ISLAND, NE - 68802-9802 (mailing address contact number: 308-381-0162).

Location: 3563 Prairieview St Ste 300, Grand Island, NE, 68802-9802
person
Provider Profile Details
NPI Number
1639308893
Provider Name
Lisa C Degen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3563 Prairieview St Ste 300, Grand Island, NE, 68802-9802
Phone Number
308-381-0162
Fax Number
308-389-4445
Provider Enumeration Date
07/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24179 01 NE BCBS
institution
Provider Business Practice Location Address Details
Address
3563 Prairieview St Ste 300
City
State
Zip
68803-4442
Phone Number
308-381-0162
Fax Number
308-389-4445
person
Provider Business Mailing Address Details
Address
Po Box 9802
City
State
Zip
68802-9802
Phone Number
308-381-0162
Fax Number
308-389-4445
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1453 (Nebraska)
Definition
Definition to come...
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