MEDICARE: ANNALISA CORTEZ DAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	LAC-012304	AZ

General Provider Information

NPI Number	:	1134078017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALISA CORTEZ DAC

Provider Business Mailing Address
First Line	:	1340 N RECKER RD UNIT 347
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-4435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 N RECKER RD UNIT 347
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-4435
Country	:	US
Telephone Number	:	480-347-6700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ ANNALISA CORTEZ DAC” Practice Location

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