Individual
MR. JOSEPH ROBERT LACH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
107 E OAK AVE STE 201, FLAGSTAFF, AZ 86001-1819
(928) 913-8800
Mailing address
2523 S QUITMAN ST, DENVER, CO 80219-5721
(330) 309-9289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
301003
AZ
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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