person
Ms. Lisa Michelle Matuga, LISAMATUGA,PA-C
Medical Physician Assistant in Charlotte, North Carolina
NPI 1982854774

Lisa Michelle Matuga is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Lisa Michelle Matuga practices in Charlotte, NC and has the professional credentials of LISAMATUGA,PA-C. The NPI Number for Lisa Michelle Matuga is 1982854774 and holds a License No. 5601005362 (North Carolina).

The current practice location address for Lisa Michelle Matuga is 14214 Ballantyne Lake Rd, Charlotte, NC and can be reached out via phone at 704-667-2650 and via fax at 704-544-0172.

Location: 14214 Ballantyne Lake Rd, Charlotte, NC, 28277-0762
person
Provider Profile Details
NPI Number
1982854774
Provider Name
Lisa Michelle Matuga
Credential
LISAMATUGA,PA-C
Provider Entity Type
Individual
Gender
Female
Address
14214 Ballantyne Lake Rd, Charlotte, NC, 28277-0762
Phone Number
704-667-2650
Fax Number
704-544-0172
Provider Enumeration Date
09/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8101140 05 NC
institution
Provider Business Practice Location Address Details
Address
14214 Ballantyne Lake Rd
City
State
Zip
28277-3373
Phone Number
704-667-2650
Fax Number
704-544-0172
person
Provider Business Mailing Address Details
Address
14214 Ballantyne Lake Rd
City
State
Zip
28277-3373
Phone Number
704-667-2650
Fax Number
704-544-0172
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005362 (Michigan)
Definition
Definition to come...
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