LISA L FULLER (NPI# 1366567398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366567398 |
Entity Type | Individual |
Full Name | LISA L FULLER |
Credential | M.D. |
Practice Address |
1720 W Southern Ave Suite B1-b6 Mesa AZ 85202-4834 |
Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
Practice Telephone | 6157784066 |
Mailing Telephone | 9723648000 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2010-01-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
33576 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457958746 | Lisa Ellen Fuller | Nutritionist | 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 | 2020-10-08 |
1801246210 | Lisa Fuller | Registered Nurse | 25 Laurie Ln, Bridgewater, MA 02324-3539 | 2016-06-16 |
1942441092 | Lisa Marie Fuller | Occupational Therapist | 9854 S 43rd Pl, Phoenix, AZ 85044-7528 | 2009-03-19 |
1093838781 | Lisa Marie Fuller | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560 | 2007-04-09 |
1609899947 | Lisa Joy Fuller | Optometrist | 505 Retail Way Ste 118, Louisburg, NC 27549-6480 | 2006-07-26 |
1407407372 | Lisa Barry Fuller | Counselor | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2019-09-23 |
1265927057 | Lisa Ann Fuller | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2018-06-25 |
1215430871 | Lisa Fuller | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-03-09 |
1760847461 | Lisa Fuller | Registered Nurse | 1600 E Broadway, Columbia, MO 65201-5844 | 2015-12-22 |
1932531928 | Lisa Fuller | Nurse Practitioner | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2013-08-01 |
Street Address |
1720 W SOUTHERN AVE SUITE B1-B6 |
City | MESA |
State | AZ |
Zip Code | 85202-4834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245355353 | Thomas E Fullmer | Physical Therapist | 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
1619092665 | Bruce H Willoughby | Physical Therapist | 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033234901 | Bernardo V Fabrega | Preventive Medicine | 1720 W Southern Ave Ste B1-b6, Mesa, AZ 85202-4834 | 2007-03-20 |
1457478182 | Cory C Davis | Preventive Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871924886 | Lisa Ann Moynihan | Preventive Medicine | 3725 W Nightflower St, Tucson, AZ 85741-2755 | 2013-12-02 |
1376819805 | Stefanie Lundell | Preventive Medicine | 1951 N. Wilmot Rd, Bldg 1, Suite 3a, Wellamerica, Inc., Tucson, AZ 85712-8000 | 2012-03-29 |
1457622011 | Francis Feng Song | Preventive Medicine | 3905 E Wildhorse Dr, Gilbert, AZ 85297-7863 | 2012-01-13 |
1407149867 | Helmut W Fleischer | Preventive Medicine | 1658 S Litchfield Rd, Goodyear, AZ 85338-1509 | 2011-05-18 |
1366771271 | Scott A Krasner | Preventive Medicine | 7656 N Sonoma Way, Tucson, AZ 85743-9489 | 2009-12-24 |
1205160454 | Joseph M. Hughes | Preventive Medicine | 9596 E Roadrunner Dr, Scottsdale, AZ 85262-1442 | 2009-09-21 |
1558482703 | William R. Lewis | Preventive Medicine | 320 E. Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004 | 2007-04-03 |
1174648844 | Gilbert T Webb II | Preventive Medicine | 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004-4514 | 2007-03-20 |
1053436063 | Michael A Keer | Preventive Medicine | 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043-4700 | 2007-03-20 |
1881719615 | Robert N Gavlak | Preventive Medicine | 4600 S Park Avenue, Suite 3-5, Tucson, AZ 85714 | 2007-03-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.