Individual
MRS. LISA LASHELLE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23136 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-1327
(623) 293-1961
Mailing address
23136 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-1327
(623) 293-1961
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
318737
AZ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
10122
AZ
Other
Enumeration date
12/21/2006
Last updated
01/17/2025
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