Lalo, Erica

Lalo, Erica is an sole proprietor health care provider with primary practice located at Hwy 264 Mp388 , Polacca AZ 86042. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Lalo, Erica can be contacted via phone (928) 737-6000.

Contact Information

Primary practice address
Hwy 264 Mp388 Polacca AZ 86042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 877928 Arizona

Profile Details

NPI number 1184096786
LBN Legal business name Lalo, Erica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184096786 NPPES
Arizona MEDICAID 020529

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