NPI 1629007141 · live from the CMS NPI Registry
Mariella Lyda Accame, PA
Physician Assistant in Lakewood, CO. National Provider Identifier 1629007141, active.
NPI record
| NPI | 1629007141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401 |
| Practice phone | 303-914-8800 |
| Enumerated | June 30, 2006 |
| Last updated | January 7, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 103053 (NC) |
| Physician Assistant primary | 363A00000X | PA0003952 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.