Individual provider · Type 1 NPI

Lisa Demidowich, DPM

Foot & Ankle Surgery Podiatrist · Prescott, AZ

NPI number 1235545278 Active

Practice location

2286 Crosswind Dr Ste C
Prescott, AZ 86301-6100

Mailing address

PO Box 27077
Prescott Valley, AZ 86312-7077

Other practice locations

  • 650 E Indian School Rd, Phoenix Va Medical Center, Phoenix, AZ 85012-1839 · (928) 225-2540

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0844 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

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About NPI 1235545278

Lisa Demidowich, DPM's National Provider Identifier is 1235545278, issued on Jul 10, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Prescott, AZ. The record was last updated on Sep 5, 2019.