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Contact Information

EVA CORONA, LISAC
5306 N 17TH AVE
PHOENIX, AZ85015-3035
 Phone: 602-249-6674
 Fax: 480-422-0052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for EVA CORONA · (Female)

NPI # 1316607625
Status Active
Credentials LISAC
Entity Individual
Enumeration date 12/28/2021
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 1307
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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