Pena, Lisette

Pena, Lisette is an sole proprietor health care provider with primary practice located at 4121 E Pueblo Ave , Mesa AZ 85206-5124. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Pena, Lisette can be contacted via phone (602) 705-2307.

Contact Information

Primary practice address
4121 E Pueblo Ave Mesa AZ 85206-5124
Phone: (602) 705-2307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X LM250 Arizona

Profile Details

NPI number 1023775988
LBN Legal business name Pena, Lisette
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2021
Last updated Nov 25th, 2021 - about 5 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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