Lisha Hasskamp, PA
Individual provider Active NPI Physician Assistant · Dededo, GU
NPI 1336879527 · NPPES record last updated Jun 12, 2022
Key facts
- NPI
- 1336879527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1088 W Marine Corps Dr Ste 239
Dededo, GU 96929-5553 - Phone
- (671) 637-2873
- NPI assigned
- Jun 12, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expresscare Health and Skin Center | Past | Accepting new patients | |
| Expresscare Health and Skin Center Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1088 W Marine Corps Dr Ste 239
Dededo, GU 96929-5553
Mailing address
126 E Daog CT
Dededo, GU 96929-5527
Phone (671) 787-5252
Other practice location 1
302 S Route 4 Ste 207
Chalan Pago, GU 96910
Phone (671) 477-2873
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.