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Individual

DR. CHRISTOPHER LACERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 W THOMAS RD, ATT: SURGICAL SUITE, PHOENIX, AZ 85013-4409
(602) 406-3541
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-6262

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
274276
MA
207L00000X
Anesthesiology Physician
Primary
55290
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
274276
LIMITED LICENSE
MA
Enumeration date
09/15/2014
Last updated
08/24/2023
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