Individual
LOIS E. WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
(659) 235-6176
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME73960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258105100
—
FL
Enumeration date
03/10/2006
Last updated
11/25/2024
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