Individual
LISA AHUACTZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3788 S 16TH AVE, TUCSON, AZ 85713-6079
(520) 388-9741
(520) 388-9750
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 961-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
996
AZ
Other
Enumeration date
09/29/2005
Last updated
05/05/2014
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