Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 47252 | AZ |
Y | 208600000X | Surgeon | 47252 | AZ |
N | 208200000X | Surgeon | A95689 | CA |
N | 208600000X | Surgeon | A95689 | CA |
N | 2086X0206X | Surgical Oncologist | P0768 | TX |
NPI | 1073768057 |
---|---|
Provider Name | Dr. Lilah Fran Morris-Wiseman |
First Address | Tucson, AZ 85741-3574 |
Second Address | Tucson, AZ 85741-3574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2008 |
Last Update Date | 07/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286314401 (MDACC) | (05) | TX |
8CZ275 | BCBS (MDACC) (01) | TX |