Individual
LISA MICHELLE SIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35663
AZ
208M00000X
Hospitalist Physician
35663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126211
—
AZ
Enumeration date
07/30/2006
Last updated
09/11/2007
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