Individual
LARRY LEFORTE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
2018 W BLAYLOCK DR, PHOENIX, AZ 85085
(928) 499-2984
Mailing address
2018 W BLAYLOCK DR, PHOENIX, AZ 85085-1718
(928) 499-2984
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
50617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50617
ARIZONA DEPT OF HEALTH SERVICES
AZ
Enumeration date
08/01/2017
Last updated
07/21/2022
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