Individual
MRS. LISA MARIE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 W RIPPLE RD, GOODYEAR, AZ 85338-9606
(951) 660-4519
Mailing address
15820 W RIPPLE RD, GOODYEAR, AZ 85338
(951) 660-4519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP045171
LPN LICENSE
AZ
Enumeration date
11/16/2016
Last updated
11/16/2016
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