Castellano, Lisa M

Castellano, Lisa M is an individual health care provider with primary practice located at 6567 E Carondelet Dr Suite 225, Tucson AZ 85710-6152. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Castellano, Lisa M can be contacted via phone (520) 886-3432.

Contact Information

Primary practice address
6567 E Carondelet Dr Suite 225 Tucson AZ 85710-6152
Phone: (520) 886-3432
Fax: (520) 886-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 3950 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3950 Arizona

Profile Details

NPI number 1144345810
LBN Legal business name Castellano, Lisa M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 7th, 2023 - about 3 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 1144345810 NPPES
Arizona Other 3950 STATE LICENSE
Arizona MEDICAID 222863 STATE LICENSE
Arizona Other P00958347 STATE LICENSE

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