Individual
DR. LORELA BERBERI WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1715 E COPPER ST, TUCSON, AZ 85719-3119
(602) 503-2842
Mailing address
1133 SOUTH BLVD APT 723, OAK PARK, IL 60302-3286
(602) 503-2842
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.078704
IL
Other
Enumeration date
03/31/2021
Last updated
11/17/2021
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