DR. Lisa Ann Mansueto, M.D.

NPI #1396742797 in Tempe, Arizona

Provider Information

NPI Number: 1396742797
Entity Type: Individual
Name: DR. Lisa Ann Mansueto, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Credential: M.D.
Enumeration Date: Jun 30, 2005
Last Updated: May 9, 2016

Practice Location

Address: 3200 S COUNTRY CLUB WAY
City: Tempe
State: Arizona
ZIP Code: 85282-4054
Phone: (480) 839-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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