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LIZZETTE PAGAN PLLC NPI 1134473515


NPI Information

NPI: 1134473515
Provider Name: LIZZETTE PAGAN PLLC

Other Name: MY PEDIATRIC PLACE

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 03D1018870

Address:
1823 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 716-5700
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LIZZETTE PAGAN PLLC is an adolescent medicine pediatrics in Phoenix, AZ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LIZZETTE PAGAN PLLC NPI is 1134473515. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is My Pediatric Place.

The provider's business location address is:

1823 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-052
Phone: (602) 716-5700
Fax: (602) 716-5842

The provider's authorized official is Liz Soto .
The authorized official title is Practice Manager and has the following contact phone number (602) 716-5700.

The CLIA number assigned to this NPI record is 03D1018870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 11/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine27253ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.