Individual
LILI A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 W IRVINGTON RD, TUCSON, AZ 85714
(520) 884-7304
(520) 623-0992
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745
(520) 670-3809
(520) 884-9287
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35143
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077495
—
AZ
Enumeration date
04/08/2006
Last updated
07/08/2007
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