# MAIN STREET FAMILY PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356410146
- **Authorized official:** BETH M LIZARRAGA (OWNER)
- **Authorized official phone:** (520) 868-1400

## Contact information

- **Practice address:** 660 SOUTH MAIN STREET, FLORENCE, AZ 85232
- **Practice address phone:** (949) 713-3998
- **Mailing address:** PO BOX 2818, FLORENCE, AZ 85132-3052
- **Mailing address phone:** (520) 868-1400
- **Mailing address fax:** (520) 868-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 05/21/2015