Lori Lynne Hardacker in Goodyear - Physician Assistant

Lori Lynne Hardacker - NPI 1780612952

Lori Lynne Hardacker is a Physician Assistant in Goodyear, Arizona. Lori Lynne Hardacker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lori Lynne Hardacker is 1780612952. The last update date is 2013-03-11.

Lori Lynne Hardacker's current location address is 13555 W Mcdowell Rd, Goodyear, Arizona. You can contact this provider via phone number 6239354700 and fax number 6239354707. The mailing address for Lori Lynne Hardacker is 13555 W Mcdowell Rd, Goodyear, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Lynne Hardacker
Address 13555 W Mcdowell Rd, Goodyear, Arizona
Phone Number 6239354700
Fax Number 6239354707
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1780612952
Provider Enumeration Date 2006-06-28
Last Updated Date 2013-03-11

Provider Mailing Address Detail

Address 13555 W Mcdowell Rd
City Goodyear
State Arizona (AZ)
Post Code 8539526240
Phone Number 6239354700
Fax Number 6239354707

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4617
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
526932 AZ --

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FAQs about Lori Lynne Hardacker

What is the unique provider identifier assigned to Lori Lynne Hardacker?

The Lori Lynne Hardacker has been issued the NPI (National Provider Identifier) 1780612952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lori Lynne Hardacker's facilities are geographically located?

The facilities of Lori Lynne Hardacker are physically situated at the following location: 13555 W Mcdowell Rd, Goodyear, AZ, 8539526240.

What is the Lori Lynne Hardacker's area of specialization and corresponding taxonomy classification?

The Lori Lynne Hardacker's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1780612952 assigned to Lori Lynne Hardacker?

The Lori Lynne Hardacker was issued its 1780612952 on 2006-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lori Lynne Hardacker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lori Lynne Hardacker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-11.

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