Individual provider · Type 1 NPI
Liesel Allison Lucas Bacani
Surgical Physician Assistant · Sacramento, CA
NPI number
1205636883
Active
Practice location
4301 X St
Sacramento, CA 95817-2214
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 67198 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | 67198 (CA) |
Surgical Physician Assistant: Definition to come...
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- Joei Johns, PA-CSurgical Physician Assistant Sacramento, CA NPI 1083043210
- Leon Simms, PA-CSurgical Physician Assistant Sacramento, CA NPI 1093107997
- Erin Nicole Rysanek, PA-C, ATCSurgical Physician Assistant Sacramento, CA NPI 1184137044
About NPI 1205636883
Liesel Allison Lucas Bacani's National Provider Identifier is 1205636883, issued on Mar 14, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Jan 2, 2026.