Individual
DR. LISA E MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0016
(602) 933-4309
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30535
AZ
2086S0120X
Pediatric Surgery Physician
Primary
30535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2954093
CIGNA
—
05
—
784076
—
AZ
01
—
86080015085259A909
TRIWEST
AZ
01
—
P00024549
RAILROAD MEDICARE
AZ
Enumeration date
01/26/2006
Last updated
08/28/2024
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