Lwn Medical Pllc

NPI #1073894598 in Lakeside, Arizona

Provider Information

NPI Number
1073894598
Entity Type
Organization
Organization Name
Lwn Medical Pllc
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 30, 2011
Last Updated
Aug 30, 2011

Practice Location

Address
3401 LOCKWOOD DR
State
Arizona
ZIP Code
85929-5613
Phone
(928) 368-2060

Authorized Official

Name
LARRY W NICHOLS, MD
Title
OWNER
Phone
(928) 537-7011

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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