Individual provider · Type 1 NPI

Lysa Samuel, PA

Medical Physician Assistant · Oakland, CA

NPI number 1174737423 Active

Practice location

3100 Telegraph Ave, #2109 East Bay Family Practice Medical Group Inc
Oakland, CA 94609

Fax (510) 645-9919

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA16296

Medical Physician Assistant: Definition to come...

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About NPI 1174737423

Lysa Samuel, PA's National Provider Identifier is 1174737423, issued on May 9, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.