Individual provider · Type 1 NPI

Lydia B. O'Bannon, PA-C

Physician Assistant · South Lake Tahoe, CA

NPI number 1770911620 Active

Practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Call (530) 543-5554 Map

Fax (530) 541-3016

Mailing address

3001 Edwards Mill Rd, #200
Raleigh, NC 27612-5243

Other practice locations

  • 212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448-8001 · (775) 589-8950
  • 935 Mica Dr Ste 13, Carson City, NV 89705-7181 · (775) 783-3065

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770911620

Lydia B. O'Bannon, PA-C's National Provider Identifier is 1770911620, issued on Oct 30, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jun 25, 2019.