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LISA DAWN ECKHARDT PA-C
NPI 1366729279
Physician Assistant - Medical in Del City, OK

Active since November 05, 2011
5460 MAIN ST STE 102, DEL CITY, OK 73115(405) 610-6998 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2019, Oct 1, 2016 (2 updates tracked since 2016).

About Lisa Dawn Eckhardt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DAWN ECKHARDT PA-C (NPI 1366729279) is an individual medical provider in Del City, Oklahoma, licensed in Oklahoma (2550) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1366729279
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA DAWN ECKHARDTCredential: PA-C
Location Address5460 MAIN ST STE 102Del City, OK 73115-5525
Mailing AddressPo Box 810Warrensburg, MO 64093-0280
Phone(405) 610-6998
Sole ProprietorNo
Enumeration DateNovember 5, 2011
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1366729279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in OK · 2550✔ Licensed in IN · 10001357A✔ Licensed in MO · 2015007864✔ Licensed in IL · 085004016
5460 MAIN ST STE 102, Del City, OK 73115
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
Clinic/Center (Primary Care)
5460 MAIN ST STE 102
DEL CITY, OK 73115
Oklahoma County (615) 468-3188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Eckhardt's NPI number?

The NPI number for Lisa Eckhardt is 1366729279. It was assigned to this individual provider in the NPPES registry on November 5, 2011.

Where is Lisa Eckhardt located?

Lisa Eckhardt practices at 5460 Main St Ste 102, Del City, OK 73115. The listed phone number is (405) 610-6998.

What is Lisa Eckhardt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lisa Eckhardt was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.