Provider Demographics
NPI:1457411324
Name:STEELE, LOIS GENELL FISTER (MD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:GENELL FISTER
Last Name:STEELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9221 E BASELINE RD
Mailing Address - Street 2:SUITE A109 617
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-8310
Mailing Address - Country:US
Mailing Address - Phone:866-958-9633
Mailing Address - Fax:480-357-4639
Practice Address - Street 1:100 TILBURY DRIVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:AZ
Practice Address - Zip Code:85237
Practice Address - Country:US
Practice Address - Phone:520-363-5573
Practice Address - Fax:520-363-5611
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ16206207Q00000X
ND4421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D64983Medicare UPIN