Individual
LISA RAE STONEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2800
(520) 874-6863
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27952
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338999
—
AZ
01
—
P00624319
RAILROAD MEDICARE
AZ
Enumeration date
03/21/2007
Last updated
10/31/2008
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