NPI 1679951438 · live from the CMS NPI Registry
Lisa Marie Antonio, MD
Family Medicine in Sitka, AK. National Provider Identifier 1679951438, active.
NPI record
| NPI | 1679951438 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 222 Tongass Dr, Sitka, AK 99835 |
| Practice phone | 907-966-8318 |
| Mailing address | 3100 Channel Dr Ste 300, Juneau, AK 99801 |
| Enumerated | May 13, 2015 |
| Last updated | October 8, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Med-Res-Lic 52169 (MT) |
| Family Medicine primary | 207Q00000X | 134059 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.