Individual
LORI BETH MCFANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1138 N ALMA SCHOOL RD STE 120, MESA, AZ 85201-3003
(888) 381-4858
Mailing address
1733 E PRIMERA DR, CASA GRANDE, AZ 85122-6378
(937) 408-7042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31792
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-31815
MEDICARE
—
05
—
809379
—
AZ
01
—
ZFQ31815
MEDICARE
—
Enumeration date
08/23/2005
Last updated
11/28/2022
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