Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0701 | AZ |
Y | 222Z00000X | Podiatrist | 0701 | AZ |
N | 213E00000X | Podiatrist | 2213 | MA |
N | 222Z00000X | Podiatrist | 2213 | MA |
N | 213ES0131X | Foot Surgery | 2213 | MA |
NPI | 1144280892 |
---|---|
Provider Name | Ms. Lisa Ann Pallini |
First Address | Phoenix, AZ 85032-3355 |
Second Address | Scottsdale, AZ 85254-6002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2006 |
Last Update Date | 09/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
469746 | TUFTS HP (01) | MA |
91252 | FALLON COMMUNITY HP (01) | MA |
AA17218 | HARVARD PILGRIM HEALTHCAR (01) | MA |
NEIGHBORHOOD HP | 0033412 (01) | MA |
YY7152 | BCBS (01) | MA |