Individual
LISA THI LERTIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
687 W JUANITA AVE, GILBERT, AZ 85233-2626
(480) 234-7442
Mailing address
687 W JUANITA AVE, GILBERT, AZ 85233-2626
(480) 234-7442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
300447
AZ
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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