NPI 1407024383

Lidia Portan

Practitioner Case Manager/Care Coordinator Glendale, AZ

Practice location

Address: 6559 W Pinnacle Peak Rd, Glendale, AZ 85310-3415
Phone: (623) 376-6134

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence ALH-6526 (AZ)

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Registry record

NPI: 1407024383
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2008
Record last updated: 13 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.