Peterson, Lisa Ann
Peterson, Lisa Ann is an sole proprietor health care provider with primary practice located at 4577 W Pecos Rd , Laveen AZ 85339-9002. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Peterson, Lisa Ann can be contacted via phone (520) 550-6008.Contact Information
Primary practice address
4577 W Pecos Rd
Laveen AZ 85339-9002
Phone: (520) 550-6008
Fax: (602) 518-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10191 | Arizona |
Profile Details
| NPI number | 1376029249 |
|---|---|
| LBN Legal business name | Peterson, Lisa Ann |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2018 |
| Last updated | Apr 12th, 2023 - about last year |
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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