Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa Michelle Matuga, LISAMATUGA, PA-C

Individual provider Medical Physician Assistant · NPI 1982854774

MS. Lisa Michelle Matuga, LISAMATUGA, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2008, 18 years ago. Practices with Dermatology Care of Charlotte PA, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
18
Licensed in
MI, NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14214 Ballantyne Lake Rd Ste 100
Charlotte, NC 28277-3373
Phone: (704) 667-2650
Fax: (704) 544-0172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-02499 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601005362 (MI)

Record details

NPI number1982854774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISAMATUGA , PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESFebruary 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Dermatology Care Of Charlotte Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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