Most Relevant Information
Provider Data
| NPI Number: | 1003254897 |
| Provider Name: | LISA DENNIS RPA/RA (CBRPA) |
| Entity Type: | Individual |
| Taxonomy Code: | 243U00000X |
| Specialty: | Radiology Practitioner Assistant |
| License Number: | 13AZ1474 |
Most Important Dates
| Enumeration Date: | 06/13/2013 |
| Last Updated: | 03/21/2016 |
Provider Practice Location
1457 W SOUTHERN AVE STE 26
MESA
AZ
852024862
Practice Location Phone/Fax
| Phone: | 4803747354 |
| Fax: | 4803711121 |
Provider Mailing Location
PO BOX 64568
PHOENIX
AZ
850824568
Provider Mailing Phone/Fax
| Phone: | 4804219700 |
| Fax: |