Individual
LISA MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
10930 N TATUM BLVD STE 103, PHOENIX, AZ 85028-6069
(602) 263-7600
(602) 489-5276
Mailing address
10930 N TATUM BLVD STE 103, PHOENIX, AZ 85028-6069
(602) 263-7600
(602) 489-5276
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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