Ldr Medical Clinic, LLC

NPI #1255846788 in Winslow, Arizona

Provider Information

NPI Number
1255846788
Entity Type
Organization
Organization Name
Ldr Medical Clinic, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 6, 2017
Last Updated
Jun 16, 2018

Practice Location

Address
305 W SECOND ST
State
Arizona
ZIP Code
86047-3406
Phone
(928) 289-6093

Authorized Official

Name
MS. LISA DIANE ROMERO, FNP-C
Title
NURSE PRACTITIONER, BUSINESS OWNER
Phone
(928) 289-6093

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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