Mansueto, Lisa Ann

Mansueto, Lisa Ann is an individual health care provider with primary practice located at 3200 S Country Club Way , Tempe AZ 85282-4054. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Mansueto, Lisa Ann can be contacted via phone (480) 839-0206.

Contact Information

Primary practice address
3200 S Country Club Way Tempe AZ 85282-4054
Phone: (480) 839-0206
Fax: (480) 831-6735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23840 Arizona
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 23840 Arizona

Profile Details

NPI number 1396742797
LBN Legal business name Mansueto, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 9th, 2016 - about 8 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 1396742797 NPPES
Arizona Other 3743063 CIGNA
Arizona MEDICAID 455354 CIGNA

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