Individual
SAMANTHA CORINNE LIPKA HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1155 W OCOTILLO RD STE 4, CHANDLER, AZ 85248-3201
(480) 374-7400
Mailing address
1355 S SANDSTONE ST, GILBERT, AZ 85296-4367
(480) 250-7532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
54654
CA
363A00000X
Physician Assistant
Primary
7354
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54654
CALIFORNIA PHYSICIAN ASSISTANT LICENSE
CA
01
—
7354
ARIZONA PHYSICIAN ASSISTANT LICENSE
AZ
Enumeration date
07/19/2017
Last updated
05/20/2024
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