Individual provider · Type 1 NPI

Georgann Gervasi-Lyttkens, PA-C, R.D.C.S., R.V.T

Medical Physician Assistant · Fremont, CA

NPI number 1295952034 Active

Practice location

2333 Mowry Ave, Suite #220
Fremont, CA 94538-1625

Fax (510) 792-7986

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1295952034

Georgann Gervasi-Lyttkens, PA-C, R.D.C.S., R.V.T's National Provider Identifier is 1295952034, issued on Apr 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fremont, CA. The record was last updated on May 16, 2016.