Individual
JEFFREY R LISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 N. WILMOT, #101, TUCSON, AZ 85711
(520) 874-7400
(520) 874-3425
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-7400
(520) 874-3425
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
28777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536675
—
AZ
Enumeration date
06/23/2006
Last updated
01/11/2008
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