Active NPIIndividual provider

Ms. Lisa M Ahlemeyer, PA-C

Physician Assistant in Worcester, Massachusetts

NPI Number1790877181
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
508-421-1085
Last updated
December 29, 2020

Ms. Lisa M Ahlemeyer, PA-C is a Physician Assistant based in Worcester, MA. Ms. Lisa M Ahlemeyer, PA-C holds the professional credentials of PA-C. The NPI number for Ms. Lisa M Ahlemeyer, PA-C is 1790877181 and holds license No. PA3965 (MA). The current practice location address is 55 Lake Ave N, Worcester, MA 01655-0002 and the office can be reached by phone at 508-334-3452 and by fax at 508-421-1085. The NPI was assigned on September 29, 2006 and the record was last updated in NPPES on December 29, 2020.

●Provider Profile Details

NPI Number
1790877181
Provider Name
Lisa Marie Ahlemeyer
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
September 29, 2006
Last Update Date
December 29, 2020
Certification Date
December 29, 2020
NPI Status
Active

◉Business Practice Location Address

Address
55 Lake Ave N
Worcester, MA 01655-0002
ZIP
01655-0002
Country
US
Phone Number
508-334-3452
Fax Number
508-421-1085

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✉Business Mailing Address

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
ZIP
02241-5348
Phone Number
800-225-8885

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYesPA3965MA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Ms. Lisa M Ahlemeyer, PA-C?

The NPI number of Ms. Lisa M Ahlemeyer, PA-C is 1790877181. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa M Ahlemeyer, PA-C?

Ms. Lisa M Ahlemeyer, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA3965 (MA).

Where does Ms. Lisa M Ahlemeyer, PA-C practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-3452 (phone) or 508-421-1085 (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 1790877181 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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