Maestas, Lisa P

Maestas, Lisa P is an individual health care provider with primary practice located at 12410 E Sinto Ave Ste B , Spokane Valley WA 99216-2280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Maestas, Lisa P can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
12410 E Sinto Ave Ste B Spokane Valley WA 99216-2280
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X OP60455816 Washington

Profile Details

NPI number 1033114160
LBN Legal business name Maestas, Lisa P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 17th, 2014 - about 10 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 1033114160 NPPES
New Mexico Other 881327 AHCCCS
New Mexico Other NM004A63 AHCCCS
New Mexico Other 10013148 AHCCCS
New Mexico MEDICAID 39626253 AHCCCS
New Mexico Other 2222574 AHCCCS

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