Lardizabal, Agnes T

Lardizabal, Agnes T is an individual health care provider with primary practice located at 6780 W Thunderbird Rd Suite A101, Peoria AZ 85381-5049. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lardizabal, Agnes T can be contacted via phone (602) 843-1991.

Contact Information

Primary practice address
6780 W Thunderbird Rd Suite A101 Peoria AZ 85381-5049
Phone: (602) 843-1991
Fax: (602) 843-3224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15285 Arizona

Profile Details

NPI number 1124012604
LBN Legal business name Lardizabal, Agnes T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 21st, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124012604 NPPES
Arizona MEDICAID 260852

Popular Providers