Individual
LISA RAMANI VILLARROEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 839-2668
(602) 839-2067
Mailing address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 839-2668
(602) 839-2067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R72156
AZ
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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