Individual
MR. LISA WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250
(480) 484-5077
Mailing address
8540 E MCDOWELL RD, LOT 52, MESA, AZ 85207
(480) 332-2925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044166
AZ
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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