Provider Demographics
NPI:1386045326
Name:LISA R. STROBER, MD, PC
Entity Type:Organization
Organization Name:LISA R. STROBER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:STROBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:520-297-0538
Mailing Address - Street 1:7500 N AVENIDA DE LISA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7047
Mailing Address - Country:US
Mailing Address - Phone:520-297-0538
Mailing Address - Fax:520-544-8975
Practice Address - Street 1:7500 N. AVE DE LISA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7047
Practice Address - Country:US
Practice Address - Phone:520-297-0538
Practice Address - Fax:520-544-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ80782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty