Lisa Ann Mansueto in Tempe - Ophthalmic Plastic And Reconstructive Surgery
Lisa Ann Mansueto - NPI 1396742797
Lisa Ann Mansueto is a Ophthalmic Plastic And Reconstructive Surgery in Tempe, Arizona. Lisa Ann Mansueto practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Lisa Ann Mansueto is 1396742797. The last update date is 2016-05-09.
Lisa Ann Mansueto's current location address is 3200 S Country Club Way, Tempe, Arizona. You can contact this provider via phone number 4808390206 and fax number 4808316735. The mailing address for Lisa Ann Mansueto is 3200 S Country Club Way, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Mansueto |
|---|---|
| Address | 3200 S Country Club Way, Tempe, Arizona |
| Phone Number | 4808390206 |
| Fax Number | 4808316735 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396742797 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2016-05-09 |
Provider Mailing Address Detail
| Address | 3200 S Country Club Way |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852824054 |
| Phone Number | 4808390206 |
| Fax Number | 4808316735 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | 23840 |
|
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3743063 | AZ | CIGNA | |
| 455354 | AZ | -- |
Post Comment/ Review Below
What is the Lisa Ann Mansueto's 1396742797?
The Lisa Ann Mansueto's NPI (National Provider Identifier) Number is 1396742797. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Ann Mansueto is physically located?
The Lisa Ann Mansueto is situated at the following address: 3200 S Country Club Way, Tempe, AZ 852824054.
What is the Lisa Ann Mansueto's specialty and taxonomy code?
The Lisa Ann Mansueto's specialty is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 207Wx0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396742797 to Lisa Ann Mansueto?
The Centers for Medicare & Medicaid Services assigned the 1396742797 to Lisa Ann Mansueto on 2005-06-30.
When was the information regarding Lisa Ann Mansueto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Ann Mansueto, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-09.
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