Basic Information
| Provider Information | |||||||||
| NPI: | 1528005428 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CUTCHEN | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 8330 E HARTFORD DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852557205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807453547 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8330 E HARTFORD DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852557205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807453547 | ||||||||
| FaxNumber: | 4807453548 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 08/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD20070230 | NM | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QS1201X | MD2007-0230 | NM | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sleep Medicine |
No ID Information.