Lisa M. Matiaco, PA-C
Physician Assistant · Republic, WA
UnclaimedPA-CNPI 1154500536
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-11-01
- Practice location
- Republic, WA
- Last NPPES update
- 2013-03-21
State licenses
- WA · Physician assistant · Physician Assistant LicenseExpiredthrough 2014
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.