Individual
LIANET LANTIGUA PONCE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10645 N 43RD AVE, PHOENIX, AZ 85029-3944
(623) 233-2006
(602) 314-6115
Mailing address
10645 N 43RD AVE, PHOENIX, AZ 85029-3944
(623) 233-2006
(602) 314-6115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN305992
AZ
363LF0000X
Family Nurse Practitioner
F05230008
FL
Other
Enumeration date
05/10/2023
Last updated
07/23/2024
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