Individual
MS. LISA GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHT
Contact information
Practice address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 696-3800
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 696-3800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/27/2008
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