Individual
SUSANNA LOCKWOOD LILJENSTOLPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 698-7325
(480) 500-8430
Mailing address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 698-7325
(480) 500-8430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
265155
AZ
Other
Enumeration date
09/14/2017
Last updated
09/11/2024
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