Lori-ann R Wilcox MD

NPI 1063470623 - Dermatology - 207N00000X

NPI Details
NPI 1063470623
Gender Female
Enumeration Date 05/03/2006
Last Updated 01/26/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
13943 N 91ST AVE
C-101
PEORIA AZ, 85381-3687, US
Phone (623) 760-9449
Fax (623) 974-9351
Business Location
13943 N 91ST AVE
C-101
PEORIA AZ, 85381-3687, US
Phone (623) 760-9449
Fax (623) 974-9351
Toxanomy
Taxonomy Code 207N00000X
License State Arizona
License Number 24876
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According to our database, Lori-ann R Wilcox MD NPI is 1063470623, taxonomy code is 207N00000X and license number is 24876, license state is located at Arizona. Lori-ann R Wilcox MD physically located at 13943 N 91st Ave, Peoria AZ, 85381-3687. NPI Number Lori-ann R Wilcox MD has the Individual type.

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1063470623 NPI number is provided on an as is basis without warranty of any kind. 1063470623 is maintained by the National Plan & Provider Enumeration System. The contents of Lori-ann R Wilcox MD are for informational purposes only.