Provider Demographics
NPI:1528340999
Name:GAHAGEN, LISA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:GAHAGEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:VALENTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4 ALLEGHENY CTR FL 7
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5227
Mailing Address - Country:US
Mailing Address - Phone:412-330-2510
Mailing Address - Fax:412-330-5844
Practice Address - Street 1:3824 NORTHERN PIKE STE 525
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2177
Practice Address - Country:US
Practice Address - Phone:412-380-2750
Practice Address - Fax:412-380-2883
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA059917363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant