NPI 1366567398

Lisa L Fuller, MD

Practitioner Occupational Medicine Physician Mesa, AZ

Practice location

Address: 4315 E Main St, Mesa, AZ 85205-8605
Phone: (480) 870-7500
Fax: (480) 906-2173
Mailing address: 102 Woodmont Blvd STE 600, Nashville, TN 37205-5250

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 33576 (AZ)

Other Preventive Medicine providers in Arizona →

Registry record

NPI: 1366567398
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2007
Record last updated: 8 Aug 2024

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.