Lake Pleasant Internal Medicine Plc

NPI #1891808085 in Peoria, Arizona

Provider Information

NPI Number
1891808085
Entity Type
Organization
Organization Name
Lake Pleasant Internal Medicine Plc
Primary Specialty
Internal Medicine
Enumeration Date
Aug 15, 2006
Last Updated
Nov 30, 2011

Practice Location

Address
9059 W LAKE PLEASANT PKWY
Address 2
STE C-320
City
Peoria
State
Arizona
ZIP Code
85382-8336
Phone
(623) 455-3317

Authorized Official

Name
JOAN FRANCES CHUA, MD
Title
MANAGER
Phone
(623) 455-3317

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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