Lisa L Aubry, R.D.

Individual provider Active NPI Registered Dietitian · Tucson, AZ

NPI 1609829977 · NPPES record last updated May 8, 2017

Key facts

NPI
1609829977
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
917126 (AZ)
Practice address
6566 E Carondelet Dr
Tucson, AZ 85710-2117
Phone
(520) 885-3588
Fax
(520) 290-3958
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Medical Group Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 917126 AZ Yes

Addresses

Primary practice location

6566 E Carondelet Dr
Tucson, AZ 85710-2117

Mailing address

2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7265

Other identifiers

IdentifierTypeStateIssuer
917126OtherAZCDR

Other providers in Tucson, AZ

All providers in Tucson, AZ · Registered Dietitian in Arizona

Sources for this page

Verify at the official NPI Registry.