Individual provider · Type 1 NPI

Lisa M. Moreno, PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1831166800 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-6000 Map

Fax (559) 459-3750

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA18308 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1831166800

Lisa M. Moreno, PA-C's National Provider Identifier is 1831166800, issued on Mar 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Apr 18, 2016.