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Individual

MRS. LISA CAROL PIERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3003 N CENTRAL AVE, PHOENIX, AZ 85012-2902
(602) 462-1132
Mailing address
3003 CENTRAL AVE, PHOENIX, AZ 85012
(480) 789-3201

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN098719
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
834566
AZ
Enumeration date
04/25/2006
Last updated
07/28/2015
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