Lisa Lee Duncan
Individual provider Active NPI Internal Medicine Physician · Polacca, AZ
NPI 1033793229 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1033793229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- RN80374 (NV)
- Practice address
- Hwy 264 Mile Post 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN80374 | NV | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RN80374 | NV | Yes |
Addresses
Primary practice location
Hwy 264 Mile Post 388
Polacca, AZ 86042
Mailing address
PO Box 4000
Polacca, AZ 86042-4000
Phone (928) 737-6000
Other names
- Lisa Lee Martin
Other providers in Polacca, AZ
- DHHS IHS Phoenix Area
- Alison Dion
- Barbara Dobbs
- Correena Lorraine Duckworth
- Frances A. Duggan
- Nosayawe Edokpayi
- Susan Erwin
- Eric Espinosa
- Kathleen Ann Franklin
- Alyssa L Fredericks
All providers in Polacca, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.