Provider Demographics
NPI:1407981368
Name:BILEK, LISA ANN (NP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:BILEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 N COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2497
Mailing Address - Country:US
Mailing Address - Phone:520-459-3012
Mailing Address - Fax:520-459-3207
Practice Address - Street 1:10524 E HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-8371
Practice Address - Country:US
Practice Address - Phone:520-366-0300
Practice Address - Fax:520-366-0440
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN049062/AP3347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily