Individual
MA JANICE LALITHA A DESIONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234
(480) 256-6444
(480) 256-4712
Mailing address
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE SUITE 450, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8366
AZ
363LG0600X
Gerontology Nurse Practitioner
AP8366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108012
—
AZ
Enumeration date
01/04/2016
Last updated
08/11/2025
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