Lisa K Dela Cruz (NPI# 1326471640, PAC ID# 2466688163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326471640 |
| PAC ID by PECOS | 2466688163 |
| Professional Enrollment ID | I20140806001270 |
| Full Name | Lisa K Dela Cruz |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
1610 W Glendale Ave 128 Deer Vly Fam Prac At The Beatitudes Phoenix AZ 85021-8948 |
| Phone Number | 6237801999 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 | 6232387310 | JOHN C LINCOLN LLC |
| 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 | 6237801999 | JOHN C LINCOLN LLC |
| 19636 N 27th Ave, Suite 308, Phoenix, AZ 85027-4020 | 6237801999 | JOHN C LINCOLN LLC |
| 19636 N 27th Ave, Suite 408, Phoenix, AZ 85027-4021 | 6237800100 | JCL GASTROENTEROLOGY LLC |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lynn Stout | Nurse Practitioner | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Danielle J Mackelprang | Nurse Practitioner | John C Lincoln LLC | 3621 N Wells Fargo Ave, Scottsdale, AZ 85251-5607 |
| Jamillah L Ferguson | Nurse Practitioner | John C Lincoln LLC | 4131 N 24th St, Suite B102, Phoenix, AZ 85016-6231 |
| Chelsea J Thomsen | Internal Medicine | John C Lincoln LLC | 20330 N Cave Creek Rd, Suite 160, Phoenix, AZ 85024-1280 |
| Nicole A Konkowski | Family Medicine | John C Lincoln LLC | 9327 N 3 St, 100 Squaw Peak Family Medicine, Phoenix, AZ 85020-2471 |
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Traci E Jensen | Family Medicine | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Marlene T Patino | Physician Assistant | John C Lincoln LLC | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 |
| Therese G Argyros | Nurse Practitioner | John C Lincoln LLC | 4712 E Dynamite Blvd, Cave Creek, AZ 85331-6243 |
| Richard A Wall | Family Practice | John C Lincoln LLC | 19841 N 27 Ave, 101 Dearing Family Medicine, Phoenix, AZ 85027-4004 |
| Street Address |
1610 W GLENDALE AVE 128 DEER VLY FAM PRAC AT THE BEATITUDES |
| City | PHOENIX |
| State | AZ |
| Zip | 85021-8948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Anderson | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Cathryn Echeverria | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Swavek Kmiecik | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Jose R Parker | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Haihong H Zhao | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Koryn S Kayler Bucich | Physician Assistant | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Elizabeth R Shapiro | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Mark D Whitaker | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Wendell B Phillips | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Valerie I Bustos | Family Medicine | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasa Vojvodic | Family Medicine | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Nolawi M Mengesha | Internal Medicine | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Michael J Brennan | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Thomas Sorrell | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Brian P Doorley | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Jamie Alexander | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Brandon Walker | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Russell K Ho Lem | Chiropractic | 9014 N 23rd Ave, Suite 8, Phoenix, AZ 85021-2854 | |
| Jeffrey B Parker | Geriatric Medicine | Maricopa County Special Health Care District | 934 W Hatcher Rd, Phoenix, AZ 85021-3139 |
| Brittney S Gillespie | Physician Assistant | Maricopa County Special Health Care District | 934 W Hatcher Rd, Phoenix, AZ 85021-3139 |
| Find all physicians in zip 85021 | |||
| City | PHOENIX |
| Zip Code | 85021 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHOENIX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa K Dela Cruz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.