Individual
LISA JENNIFER HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6567 E CARONDELET DR STE 185, TUCSON, AZ 85710-6161
(520) 546-1778
(520) 546-3125
Mailing address
1760 E RIVER RD STE 350, TUCSON, AZ 85718-5999
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
42470
AZ
2085R0001X
Radiation Oncology Physician
MD61259566
WA
2085R0205X
Radiological Physics Physician
48730081205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465199
—
AZ
Enumeration date
10/16/2006
Last updated
03/18/2022
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