Sieczkowski, Lisa Michelle

Sieczkowski, Lisa Michelle is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sieczkowski, Lisa Michelle can be contacted via phone (602) 406-3000.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Phone: (602) 406-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35663 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35663 Arizona

Profile Details

NPI number 1285649871
LBN Legal business name Sieczkowski, Lisa Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 11th, 2007 - about 19 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 1285649871 NPPES
Arizona MEDICAID 126211

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