Individual
LISA ANN MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3725 W NIGHTFLOWER ST, TUCSON, AZ 85741-2755
(520) 248-6936
Mailing address
3725 W NIGHTFLOWER ST, TUCSON, AZ 85741-2755
(520) 248-6936
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
5323
AZ
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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