NPI 1023775988

Lisette Pena, LMCPM

Practitioner Midwife Mesa, AZ

Practice location

Address: 4121 E Pueblo Ave, Mesa, AZ 85206-5124
Phone: (602) 705-2307
Mailing address: 2113 S Nielson St, Gilbert, AZ 85295-5428

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence LM250 (AZ)

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Registry record

NPI: 1023775988
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2021
Record last updated: 25 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.