Lori Lynne Hardacker PA

NPI 1780612952 - Physician Assistant - 363A00000X

NPI Details
NPI 1780612952
Gender Female
Enumeration Date 06/28/2006
Last Updated 03/11/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
13555 W MCDOWELL RD
SUITE 101
GOODYEAR AZ, 85395-2624, US
Phone (623) 935-4700
Fax (623) 935-4707
Business Location
9250 N. 3RD ST
SUITE 4010
PHOENIX AZ, 85020, US
Phone (602) 633-3838
Fax (602) 633-3841
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 4617
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According to our database, Mrs. Lori Lynne Hardacker PA NPI is 1780612952, taxonomy code is 363A00000X and license number is 4617, license state is located at Arizona. Lori Lynne Hardacker PA physically located at 13555 W Mcdowell Rd, Goodyear AZ, 85395-2624. NPI Number Lori Lynne Hardacker PA has the Individual type.

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1780612952 NPI number is provided on an as is basis without warranty of any kind. 1780612952 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Lynne Hardacker PA are for informational purposes only.