MRS. Lisa Jane Carpenter, P.A.C.
NPI #1639126063 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1639126063
- Entity Type
- Individual
- Name
- MRS. Lisa Jane Carpenter, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.C.
- Enumeration Date
- May 30, 2006
- Last Updated
- Sep 24, 2007
Practice Location
- Address
- 1611 JOY LN
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-8807
- Phone
- (928) 788-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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