Individual
DR. LISA MAUREEN SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1637
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
30956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418732
—
AZ
01
—
AZ0774220
BCBS
AZ
Enumeration date
08/30/2006
Last updated
07/09/2007
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