Individual
MS. LEE-ANN C DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-0000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221052
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221052
—
AZ
Enumeration date
01/17/2019
Last updated
01/17/2019
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