Search › Arizona › 163W00000X
Lisa Fulkerson
NPI 1417359555 · on the registry since 2014
Practice
- Address
- 4610 E Osborn Rd
Phoenix, AZ 85018 - Phone
- (480) 484-3500
- Fax
- (480) 484-3501
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-19
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