Provider Type Icon

LISA L FULLER M.D. NPI 1366567398


NPI Information

NPI: 1366567398
Provider Name: LISA L FULLER, M.D.
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Organization: AMERICAN CURRENT CARE OF ARIZONA PA

PECOS Registration: Yes

Address:
1720 W SOUTHERN AVE
SUITE B1-B6
MESA, AZ
ZIP 85202
Phone: (615) 778-4066
Get Directions

Lisa L Fuller, M.D. is an occupational medicine preventive medicine in Mesa, AZ with 29 years of experience. The provider is 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. Lisa L Fuller, M.D. NPI is 1366567398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1720 W SOUTHERN AVE
SUITE B1-B6
MESA, AZ
ZIP 85202-834
Phone: (615) 778-4066

The NPI 1366567398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 1/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083X0100XPreventive MedicineOccupational Medicine33576ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z132301MEDICARE UPINARIZONA
2G75960MEDICARE UPIN
3Z126048MEDICARE PINARIZONA
4Z120952MEDICARE PINARIZONA
5Z132300MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.