Individual provider · Type 1 NPI

Lisa Monique Matthews

Medical Physician Assistant · Las Vegas, NV

NPI number 1720203581 Active

Practice location

3131 La Canada St Ste 140
Las Vegas, NV 89169-2579

Fax (702) 933-9444

Mailing address

6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133

Other practice locations

  • 7604 Central Avenue, Philadelphia, PA 19111-2442 · (215) 214-3133

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA001691L (PA)
Medical Physician Assistant Primary 363AM0700XPA2289 (NV)

Medical Physician Assistant: Definition to come...

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About NPI 1720203581

Lisa Monique Matthews's National Provider Identifier is 1720203581, issued on Apr 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 3, 2022.