IndividualActive
Lisa Fuller, M.D.
NPI 1366567398 · Occupational Medicine Physician · Mesa, AZ
Provider details
- NPI number
- 1366567398
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 33576 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4315 E Main St
Mesa, AZ 85205-8605
Phone: (480) 870-7500
Fax: (480) 906-2173
Approximate (ZIP-level) locationGet directions
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Additional practice locations (1)
- 1720 W Southern AveSuite B1-B6Mesa, AZ 85202-4834Phone: (615) 778-4066
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.