Individual
MRS. LISA M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14674 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-2706
(623) 544-6860
(623) 544-6861
Mailing address
14674 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-2706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6140
AZ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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