Maestas, Lisa P
Maestas, Lisa P is an individual health care provider with primary practice located at 12410 E Sinto Ave Ste B , Spokane Valley WA 99216-2280. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Maestas, Lisa P can be contacted via phone (509) 838-2531.Contact Information
Primary practice address
12410 E Sinto Ave Ste B
Spokane Valley WA 99216-2280
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | OP60455816 | Washington |
Profile Details
| NPI number | 1033114160 |
|---|---|
| LBN Legal business name | Maestas, Lisa P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jun 17th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033114160 | NPPES |
| New Mexico | Other | 881327 | AHCCCS |
| New Mexico | Other | NM004A63 | AHCCCS |
| New Mexico | Other | 10013148 | AHCCCS |
| New Mexico | MEDICAID | 39626253 | AHCCCS |
| New Mexico | Other | 2222574 | AHCCCS |
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