Individual
LISA MARY GREENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14155 N 83RD AVE, SUITE #110, PEORIA, AZ 85381-5639
(623) 215-0911
(623) 215-0912
Mailing address
14155 N 83RD AVE, SUITE #110, PEORIA, AZ 85381-5639
(623) 215-0911
(623) 215-0912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3465
AZ
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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