Provider Demographics
NPI:1346762325
Name:LAMCA, MATTHEW (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:LAMCA
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:18350 N 32ND ST UNIT 118
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-1229
Mailing Address - Country:US
Mailing Address - Phone:602-754-6075
Mailing Address - Fax:623-230-6814
Practice Address - Street 1:825 S WATSON RD STE 107
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-3435
Practice Address - Country:US
Practice Address - Phone:602-754-6075
Practice Address - Fax:623-230-6814
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ6758363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical