Individual
LISA ANN MCGINNITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18301 N 79TH AVE STE 150, GLENDALE, AZ 85308-6045
(480) 256-1520
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619700
—
AZ
01
—
Z146205
MEDICARE
AZ
Enumeration date
11/30/2007
Last updated
09/18/2019
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