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Individual

DR. LISA DIANNE MIHORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9151 W THUNDERBIRD RD # G104, PEORIA, AZ 85381-4906
(623) 522-8687
(862) 522-8683
Mailing address
9151 W THUNDERBIRD RD # G104, PEORIA, AZ 85381-4906
(623) 522-8687
(623) 522-8683

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44635
AZ
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
44635
AZ

Other

Enumeration date
10/17/2005
Last updated
08/24/2022
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