Provider Demographics
NPI:1932670601
Name:LISCHER LIERS, STEFANIE (LAC)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:LISCHER LIERS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15710 N ROADRUNNER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9004
Mailing Address - Country:US
Mailing Address - Phone:520-822-7114
Mailing Address - Fax:
Practice Address - Street 1:6818 N ORACLE RD STE 426
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4233
Practice Address - Country:US
Practice Address - Phone:520-822-7114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ574171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist