| Doctor Name: | MS. LISA MARIE LUICK |
| NPI Number: | 1083907703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN136448 |
| Business Practice Address: | 3555 E Fry Blvd Sierra Vista, AZ - 856352972 |
| Business Phone Number: | 5205152872 |
| Business Fax Number: | |
| Mailing Address: | 6070 S Calle De La Menta, HEREFORD |
| State: | AZ |
| Postal Code: | 856159512 |
| Phone Number: | 5208030590 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2011 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN136448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |