Hazard, Lisa Jennifer

Hazard, Lisa Jennifer is an individual health care provider with primary practice located at 6567 E Carondelet Dr Ste 185 , Tucson AZ 85710-6161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Radiological Physics. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Hazard, Lisa Jennifer can be contacted via phone (520) 546-1778.

Contact Information

Primary practice address
6567 E Carondelet Dr Ste 185 Tucson AZ 85710-6161
Phone: (520) 546-1778
Fax: (520) 546-3125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD61259566 Washington
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 48730081205 Utah
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 42470 Arizona

Profile Details

NPI number 1477633386
LBN Legal business name Hazard, Lisa Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477633386 NPPES
Arizona MEDICAID 465199

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