Individual
LISA MARIE HEISTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 245114, TUCSON, AZ 85724-5114
(520) 626-7141
Mailing address
PO BOX 245114, TUCSON, AZ 85724-5114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R81008
AZ
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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