Individual
LISA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
1801 S JENTILLY LN, SUITE A-18, TEMPE, AZ 85281-5758
(602) 531-5511
Mailing address
3429 E MELODY DR, PHOENIX, AZ 85042-7263
(602) 470-8473
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0732
AZ
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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