# LISA MARIE YORK, MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Strawberry Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710170642
- **Authorized official:** DR. LISA MARIE YORK MD (PHYSICIAN)
- **Authorized official phone:** (928) 476-3258

## Contact information

- **Practice address:** 6152 HARDSCRABBLE ROAD, PINE, AZ 85544
- **Practice address phone:** (928) 476-3258
- **Practice address fax:** (928) 476-3186
- **Mailing address:** PO BOX 409, PINE, AZ 85544-0409
- **Mailing address phone:** (928) 476-3258
- **Mailing address fax:** (928) 476-3186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24012 | AZ | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 01/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1Z9017 | HEALTHNET | AZ |
| 05 | — | 391186 | — | AZ |
| 01 | — | AZ0740060 | BLUE CROSS BLUE SHIELD | AZ |