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Individual

LISA MAE KNOWLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
4100 S LINDSAY RD BLDG 6, GILBERT, AZ 85297-1506
(602) 834-0505
(520) 775-3990

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1243852
TX
363LF0000X
Family Nurse Practitioner
AP70111103
WA
363LF0000X
Family Nurse Practitioner
Primary
AP9800
AZ
363LF0000X
Family Nurse Practitioner
APRN-6060
HI
363LF0000X
Family Nurse Practitioner
C-APN.0107074
CO

Other

Enumeration date
01/13/2017
Last updated
08/06/2026
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