Individual
LAUREN ELIZABETH KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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