Individual
ALISON M LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
931569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342282
—
AZ
01
—
P00625136
RAILROAD MEDICARE
AZ
Enumeration date
06/16/2008
Last updated
11/19/2008
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