Larisa Lopatko

NPI 1710377148 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1710377148
Gender Female
Enumeration Date 01/22/2015
Last Updated 02/10/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3525 W CALAVAR RD
PHOENIX AZ, 85053-5512, US
Phone (602) 938-8150
Fax (602) 938-9277
Business Location
2500 W UTOPIA RD
SUITE 100
PHOENIX AZ, 85027-4171, US
Phone (623) 434-6200
Fax (623) 434-6164
Toxanomy
Taxonomy Code 363LF0000X
License State Arizona
License Number AP5701
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According to our database, Larisa Lopatko NPI is 1710377148, taxonomy code is 363LF0000X and license number is AP5701, license state is located at Arizona. Larisa Lopatko physically located at 3525 W Calavar Rd, Phoenix AZ, 85053-5512. NPI Number Larisa Lopatko has the Individual type.

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1710377148 NPI number is provided on an as is basis without warranty of any kind. 1710377148 is maintained by the National Plan & Provider Enumeration System. The contents of Larisa Lopatko are for informational purposes only.