NPI 1104284355 · live from the CMS NPI Registry
Lisa Laura Ganeko, RN
Registered Nurse, General Practice in Phoenix, AZ. National Provider Identifier 1104284355, active.
NPI record
| NPI | 1104284355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 7150 N 22nd St, Phoenix, AZ 85020 |
| Practice phone | 602-664-7800 |
| Enumerated | February 3, 2016 |
| Last updated | February 3, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | RN195746 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.