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NPI Code Detail

MEDICARE: LISA MARIE DONSKER LPC, M.C.

MEDICARE: LISA MARIE DONSKER LPC, M.C.
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
1101YP2500XProfessional CounselorLPC #10507AZ

General Provider Information

NPI Number : 1558384974
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE DONSKER LPC, M.C.
Provider Business Mailing Address
First Line : 12010 N 32ND ST
Second Line : BUILDING C, SUITE 215
City : PHOENIX
State : AZ
Zip : 85028-1219
Country : US
Telephone Number : 602-525-0866
Fax Number :
Provider Business Practice Location Address
First Line : 12010 N 32ND ST
Second Line : BUILDING C, SUITE 215
City : PHOENIX
State : AZ
Zip : 85028-1219
Country : US
Telephone Number : 602-525-0866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 11/12/2008

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