DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1720062417

NPI Code Detail

MEDICARE: MR. LANCE STEVEN FISHER PA

MEDICARE: MR. LANCE STEVEN FISHER PA

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
1	207P00000X	Emergency Medicine Physician	2412	AZ
2	207P00000X	Emergency Medicine Physician	11450	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	860373636	OTHER	AZ	HUMANA GROUP
3	AW1436	OTHER	AZ	HEALTHNET GROUP
4	3981220	OTHER	AZ	EVERCARE GROUP
5	453051001	OTHER	AZ	GROUP HEALTH GROUP

General Provider Information

NPI Number	:	1720062417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LANCE STEVEN FISHER PA

Provider Business Mailing Address
First Line	:	13512 W READE AVE
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-4019
Country	:	US
Telephone Number	:	623-535-4372
Fax Number	:

Provider Business Practice Location Address
First Line	:	5702 W CAMPBELL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031
Country	:	US
Telephone Number	:	623-848-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	01/29/2016

Similar Medicare Providers

1427053065 — SYEDA SAFIA SALEEMUDDIN M.D.
Practice Location Address:

4700 N 51ST AVE , STE 4
PHOENIX, AZ
85031-1237

Practice Phone: 623-846-7575
Practice Fax: 623-247-6386

1215932850 — MARK KENNETH PATTON M.D.
Practice Location Address:

4700 N 51ST AVE , STE 4
PHOENIX, AZ
85031-1237

Practice Phone: 623-846-7575
Practice Fax: 623-247-6386

1235134859 — BERNETTA E BROUGHTON M.D.
Practice Location Address:

4700 N 51ST AVE , STE 4
PHOENIX, AZ
85031-1237

Practice Phone: 623-846-7575
Practice Fax: 623-247-6386

1902802168 — DR. JOSEPH JOHN WELLS M.D.
Practice Location Address:

4700 N 51ST AVE , STE 4
PHOENIX, AZ
85031-1237

Practice Phone: 623-846-7575
Practice Fax: 623-247-6386

1619973880 — HARRY L BROOME JR. M.D.
Practice Location Address:

4700 N 51ST AVE , STE 4
PHOENIX, AZ
85031-1237

Practice Phone: 623-846-7575
Practice Fax:

1578555223 — WILLIAM B ROBEY M.D.
Practice Location Address:

4524 N MARYVALE PKWY , STE 220
PHOENIX, AZ
85031-1730

Practice Phone: 623-846-7553
Practice Fax: 623-846-8447

1457344715 — JAIME A BALDERRAMA MD
Practice Location Address:

4524 N MARYVALE PKWY , SUITE 110
PHOENIX, AZ
85031-1730

Practice Phone: 623-845-9009
Practice Fax: 623-845-6933

Directions to “ MR. LANCE STEVEN FISHER PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.