Individual
LISA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5554 W CARRIAGE DR, TUCSON, AZ 85742-8114
(520) 904-8164
Mailing address
5554 W CARRIAGE DR, TUCSON, AZ 85742-8114
(520) 904-8164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301369
AZ
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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