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

Lisa Mary Greenan, PA-C

Individual provider Physician Assistant · NPI 1053567032

Lisa Mary Greenan, PA-C is a Physician Assistant in Peoria, Arizona. Qualified in 1994, 32 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14155 N 83rd Ave Ste #110
Peoria, AZ 85381-5639
Phone: (623) 215-0911
Fax: (623) 215-0912
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3465 (AZ)

Record details

NPI number1053567032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2008
Last updated in NPPESAugust 11, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria