DR. LORRI JAN CERVA-BUCHOLZ DO NPI 1427141845

NPI Information

NPI: 1427141845
Provider Name: DR. LORRI JAN CERVA-BUCHOLZ, DO
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
19636 N 27TH AVENUE
SUITE 106
PHOENIX, AZ
ZIP 85027
Phone: (623) 516-8252
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DR. Lorri Jan Cerva-bucholz, DO is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Lorri Jan Cerva-bucholz, DO NPI is 1427141845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19636 N 27TH AVENUE
SUITE 106
PHOENIX, AZ
ZIP 85027
Phone: (623) 516-8252
Fax: (623) 516-8253

The enumeration date for this NPI number is 9/30/2006 and was last updated on 7/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	4313	ARIZONA	No
2	174400000X	Specialist		4313	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4313	OTHER	ARIZONA	STATE LICENSE
2	974528	MEDICAID	ARIZONA
3	Z127886	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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