Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa L Fuller, MD

Individual provider Occupational Medicine Physician · NPI 1366567398

Lisa L Fuller, MD is an Occupational Medicine Physician in Mesa, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4315 E Main St
Mesa, AZ 85205-8605
Phone: (480) 870-7500
Fax: (480) 906-2173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 W Southern Ave, Mesa, AZ 85202-4834 — (615) 778-4066

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 33576 (AZ)

Record details

NPI number1366567398
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250

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