Van Tassel, Lora J
Van Tassel, Lora J is an individual health care provider with primary practice located at 3145 E Chandler Blvd Ste 110-109 , Phoenix AZ 85048-8702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Van Tassel, Lora J can be contacted via phone (602) 935-9773.Contact Information
Primary practice address
3145 E Chandler Blvd Ste 110-109
Phoenix AZ 85048-8702
Phone: (602) 935-9773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50424 | Arizona |
Profile Details
| NPI number | 1437417342 |
|---|---|
| LBN Legal business name | Van Tassel, Lora J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Dec 11th, 2023 - about 3 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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