Lisa A Fogle in Tucson - General Practice

Lisa A Fogle - NPI 1104882349

Lisa A Fogle is a General Practice in Tucson, Arizona. Lisa A Fogle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lisa A Fogle is 1104882349. The last update date is 2007-07-08.

Lisa A Fogle's current location address is 915 N Swan Rd, Tucson, Arizona. You can contact this provider via phone number 5208811858 and fax number 5208812713. The mailing address for Lisa A Fogle is 915 N Swan Rd, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa A Fogle
Address 915 N Swan Rd, Tucson, Arizona
Phone Number 5208811858
Fax Number 5208812713
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1104882349
Provider Enumeration Date 2006-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 915 N Swan Rd
City Tucson
State Arizona (AZ)
Post Code 857111213
Phone Number 5208811858
Fax Number 5208812713

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3254
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103480 AZ BLUE CROSS #
191092 AR UNITED CONCORDIA PROVIDER
877350 AZ CMDP PROVIDER #

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FAQs about Lisa A Fogle

What is the unique 10-digit identification code issued to Lisa A Fogle by the Centers for Medicare & Medicaid Services?

The Lisa A Fogle has been assigned the NPI (National Provider Identifier) 1104882349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Lisa A Fogle is physically located?

The Lisa A Fogle is situated at the following address: 915 N Swan Rd, Tucson, AZ 857111213.

What is the Lisa A Fogle's specialty and taxonomy code?

The Lisa A Fogle's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104882349 to Lisa A Fogle?

The Centers for Medicare & Medicaid Services assigned the 1104882349 to Lisa A Fogle on 2006-04-25.

When was the Lisa A Fogle's information last updated?

The Lisa A Fogle's information was last updated on 2007-07-08.

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