Individual
LISA JACQUELINE KOVACEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
8203 W ORAIBI DR APT 2063, PEORIA, AZ 85382-4696
(619) 322-2152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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