Individual
LISA M DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2201 E CAMELBACK RD STE 101A, PHOENIX, AZ 85016-3495
(602) 218-4075
(212) 867-4353
Mailing address
130 SUTTER ST FL 2, SAN FRANCISCO, CA 94104-4009
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04861
NC
363A00000X
Physician Assistant
085001837
IL
363A00000X
Physician Assistant
2254
SC
363A00000X
Physician Assistant
Primary
4361
AZ
Other
Enumeration date
03/14/2007
Last updated
08/08/2018
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