Individual
LISA LE NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2034
(480) 543-2647
Mailing address
1900 N HIGLEY ROAD, ATTN: HOSPITALISTS, GILBERT, AZ 85234
(480) 543-2034
(480) 543-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46621
AZ
207R00000X
Internal Medicine Physician
R71401
AZ
208M00000X
Hospitalist Physician
Primary
46621
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R71401
TRAINING PERMIT
AZ
Enumeration date
06/17/2009
Last updated
09/24/2015
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