Individual
MS. LANA HUSSEIN KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15410 S MOUNTAIN PKWY, SUITE 105, PHOENIX, AZ 85044-6691
(480) 588-7564
(480) 374-5210
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5901
(480) 588-7564
(480) 374-5210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5212
AZ
Other
Enumeration date
09/14/2012
Last updated
05/20/2016
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