Individual
LISA M MAZEIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29926-2497
(843) 738-4800
(843) 738-4801
Mailing address
460 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29926-2497
(843) 738-4800
(843) 738-4801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
BLC1791174
SC
363A00000X
Physician Assistant
MA001688L
PA
Other
Enumeration date
05/19/2006
Last updated
12/06/2023
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