| Doctor Name: | MRS. LISA K MANDER |
| NPI Number: | 1467892901 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BC-HIS |
| License Number: | 4446 |
| Business Practice Address: | 12621 N 103rd Ave Sun City, AZ - 853513402 |
| Business Phone Number: | 6239333088 |
| Business Fax Number: | 6239330172 |
| Mailing Address: | 7920 Wyoming Blvd Ne, Ste A ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871096020 |
| Phone Number: | 4694618663 |
| Fax Number: | 4694618667 |
| NPI Enumeration Date: | 06/28/2013 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | 4446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |