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NPI Code Detail

MEDICARE: LISA JO CHAMBERLAIN M.D.

MEDICARE: LISA JO CHAMBERLAIN M.D.
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
1208000000XPediatrics Physician79654AZ

General Provider Information

NPI Number : 1528145513
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA JO CHAMBERLAIN M.D.
Provider Business Mailing Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-626-5170
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/27/2026

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Directions to “ LISA JO CHAMBERLAIN M.D.” Practice Location

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