Individual provider · Type 1 NPI

Lisa Michelle Matuga, LISA MATUGA, PA-C

Medical Physician Assistant · Charlotte, NC

NPI number 1982854774 Active

Practice location

14214 Ballantyne Lake Rd, Suite 100
Charlotte, NC 28277-3373

Call (704) 667-2650 Map

Fax (704) 544-0172

Mailing address

15830 Ballantyne Medical Pl, Ste 100
Charlotte, NC 28277-0762

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601005362 (MI)
Medical Physician Assistant Primary 363AM0700X0010-02499 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1982854774

Lisa Michelle Matuga, LISA MATUGA, PA-C's National Provider Identifier is 1982854774, issued on Sep 29, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Feb 7, 2017.