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NPI Code Detail

MEDICARE: LISA DANIELS

MEDICARE: LISA DANIELS
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
11041C0700XClinical Social WorkerLCSW12014AZ
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1124414727
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA DANIELS
Provider Business Mailing Address
First Line : 448 36TH AVE NW STE 101
Second Line :
City : NORMAN
State : OK
Zip : 73072-4743
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7740 N ORACLE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-6313
Country : US
Telephone Number : 520-544-9890
Fax Number : 520-544-9894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 06/04/2021

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1811979883 — DR. JAMES P NICOLAI MD
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1740356047 — LAURA A AYLMER MSS, LCSW
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1326174525 — MS. AMY LOUISE GINN NP
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1952555120 — MELISSA G KOON ANP
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7740 N ORACLE RD
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Directions to “ LISA DANIELS ” Practice Location

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