Individual
LISA LAURA GANEKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7150 N 22ND ST, PHOENIX, AZ 85020-5605
(602) 664-7800
Mailing address
7150 N 22ND ST, PHOENIX, AZ 85020-5605
(602) 664-7800
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN195746
AZ
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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