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Individual

LAURA LISA VALDIVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5230 E FARNESS DR, SUITE 100, TUCSON, AZ 85712-2141
(520) 318-9681
(520) 325-6774
Mailing address
PO BOX 29675, DEPARTMENT 2084, PHOENIX, AZ 85038-9675
(520) 318-9681
(520) 325-6774

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
31895
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
953845
AZ
Enumeration date
06/21/2006
Last updated
04/16/2012
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