THE LYMPHEDEMOBILE PLLC NPI 1730613886

NPI Information

NPI: 1730613886
Provider Name: THE LYMPHEDEMOBILE PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4446 E JOEY AVE
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 221-9632
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THE LYMPHEDEMOBILE PLLC is a health service clinic center in Flagstaff, AZ. THE LYMPHEDEMOBILE PLLC NPI is 1730613886. The provider is registered as an organization entity type.

The provider's business location address is:

4446 E JOEY AVE
FLAGSTAFF, AZ
ZIP 86004-415
Phone: (928) 221-9632

The provider's authorized official is Regina Eason .
The authorized official title is Owner/manager and has the following contact phone number (928) 221-9632.

The enumeration date for this NPI number is 4/16/2017 and was last updated on 4/16/2017.

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	261QH0100X	Clinic/Center	Health Service	5556	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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