Individual
DR. LISA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W THOMAS RD, STE 870, PHOENIX, AZ 85013-4218
(877) 809-0509
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25023
AZ
Other
Enumeration date
08/17/2005
Last updated
02/07/2018
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