Jdl-ctspa

  • 1831353382 NPI Number
  • |
  • Actived: 15 years ago
  • |
Jdl-ctspa is a health care provider based in Laveen, AZ. The NPI Number is 1831353382 and it has been active since 15 years ago. The specialty is Surgical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Surgical services, Jdl-ctspa is an excellent option. We are here to help you get the care you need.

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Overview of Jdl-ctspa

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/14/2008
  • Last updated: 04/08/2019

Primary Scrop of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: 3608
  • License State: AZ

Provider Mailing Address

  • Address: Po Box 436
    Laveen, AZ 85339
  • Phone: 027-953-3716
  • Fax:

Provider Practice Location

  • Address: 4521 W Hopi Trl
    Laveen, AZ 85339
  • Phone: 602-795-3371
  • Fax:

Authorized Official

  • Name: MS. Jeanine Diane Lutgen PA-C
  • Position/Title: Manager
  • Telephone Number: 602-795-3371

Scope of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: 3608
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: Z123651
  • Identifier Type: Other
  • Identifier State: AZ
  • Issuer: MEDICARE PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jdl-ctspa?
  • A: The npi number for Jdl-ctspa is 1831353382.
  • Q: What are Jdl-ctspa's specialties?
  • A: Jdl-ctspa's specialties are Surgical and different specialities.
  • Q: Where is Jdl-ctspa business practice location?
  • A: Jdl-ctspa business practice location is 4521 W Hopi Trl, Laveen, AZ 85339.
  • Q: How to contact Jdl-ctspa?
  • A: You can contact Jdl-ctspa via 602-795-3371.
  • Q: What is the authorized official for Jdl-ctspa?
  • A: The authorized office name is MS. Jeanine Diane Lutgen PA-C with position/title is Manager and you can reach the authorized official via phone number 6027953371.
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