Kroack, Lisa C

Kroack, Lisa C is an individual health care provider with primary practice located at 2238 E Ginter Road Sunnyside Unified School District No 12, Tucson AZ 85706. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kroack, Lisa C can be contacted via phone (520) 545-2137.

Contact Information

Primary practice address
2238 E Ginter Road Sunnyside Unified School District No 12 Tucson AZ 85706
Phone: (520) 545-2137
Fax: (520) 545-2120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X ADECERT#1744441352 Arizona

Profile Details

NPI number 1578615951
LBN Legal business name Kroack, Lisa C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578615951 NPPES
Arizona MEDICAID 691750

Popular Providers