Individual
LUCINDA RAE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1315 W SOUTHERN AVE, TEMPE, AZ 85282-4519
(480) 705-9413
Mailing address
13440 N 13TH PL, PHOENIX, AZ 85022-4906
(602) 466-1447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4314
MEDICAL LICENSE
AZ
Enumeration date
03/21/2007
Last updated
07/08/2007
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