Search › Arizona › 176B00000X
Lisette Pena, LM, CPM
NPI 1023775988 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4121 E Pueblo Ave
Mesa, AZ 85206 - Phone
- (602) 705-2307
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona