Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ANN MANSUETO, M.D.
ActiveDR. LISA ANN MANSUETO, M.D. is a 207WX0200X healthcare provider located in TEMPE, Arizona. NPI 1396742797 is currently active in the NPPES registry. Verify at CMS.
207WX0200X · TEMPE, AZ
Registration Details
- NPI Number
- 1396742797
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2005 (21.157348565743 yrs)
- Last Updated
- May 9, 2016
- Licenses
-
23840 (AZ)23840 (AZ)
Practice Information
- Address
-
3200 S COUNTRY CLUB WAYTEMPE, AZ, 852824054Browse AZ providers · Browse ZIP 85282
- Phone
- 4808390206
- Fax
- 4808316735
- Primary Specialty
-
207WX0200X
207WX0200X
- Additional Specialty
- 207WX0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.