Physician Compare National (NPI:1801890512)

HEALTHCARE PROVIDER: LISA MARIE MONTEZ-WOOD D.C.

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

Individual Professional Information
NPI	1801890512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507841574
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110307000557
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MONTEZ-WOOD
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOS ANGELES COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16930 E PALISADES BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	FOUNTAIN HILLS
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852684006
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M