Individual provider · Type 1 NPI
Lisa Dawn Eckhardt, PA-C
Medical Physician Assistant · Del City, OK
NPI number
1366729279
Active
Practice location
5460 Main St Ste 102
Del City, OK 73115-5525
Mailing address
PO Box 810
Warrensburg, MO 64093-0280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10001357A (IN) |
| Medical Physician Assistant | 363AM0700X | 2015007864 (MO) |
| Medical Physician Assistant | 363AM0700X | 085004016 (IL) |
| Medical Physician Assistant Primary | 363AM0700X | 2550 (OK) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Del City
About NPI 1366729279
Lisa Dawn Eckhardt, PA-C's National Provider Identifier is 1366729279, issued on Nov 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Del City, OK. The record was last updated on Aug 29, 2019.