Individual
LISA M SANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W THOMAS RD, SUITE 130, PHOENIX, AZ 85013-4405
(602) 406-4185
(602) 294-5943
Mailing address
124 W THOMAS RD, SUITE 130, PHOENIX, AZ 85013-4405
(602) 406-4185
(602) 294-5943
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA6450
AZ
237600000X
Audiologist-Hearing Aid Fitter
DA6450
AZ
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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