Chan, Lisa

Chan, Lisa is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Chan, Lisa can be contacted via phone (520) 874-3500.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-0001
Phone: (520) 874-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27784 Arizona

Profile Details

NPI number 1104899251
LBN Legal business name Chan, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 29th, 2008 - about 17 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 1104899251 NPPES
Arizona Other ZWCGCR GROUP MEDICARE NUMBER
Arizona MEDICAID 846462 GROUP MEDICARE NUMBER
Arizona Other 9330092672 GROUP MEDICARE NUMBER

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