Physician Compare National (NPI:1639168255)

HEALTHCARE PROVIDER: LISA DIANNE MIHORA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1639168255
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092975094
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120329000157
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIHORA
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9185 W THUNDERBIRD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C104
	Group Practice or individual's line 2 address
City	PEORIA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853814819
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y