NPI 1396742797

Lisa Ann Mansueto, MD

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Tempe, AZ

Practice location

Address: 3200 S Country Club Way, Tempe, AZ 85282-4054
Phone: (480) 839-0206
Fax: (480) 831-6735

Registered specialties (2)

Ophthalmic Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence 23840 (AZ)

Other Ophthalmology providers in Arizona →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 23840 (AZ)

Registry record

NPI: 1396742797
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2005
Record last updated: 9 May 2016

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.