Individual
DR. LONNIE DEAN COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 870-6353
Mailing address
PO BOX 4430, CAVE CREEK, AZ 85327-4430
(480) 220-3922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1790
AZ
207Q00000X
Family Medicine Physician
Primary
1790
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256786
—
AZ
Enumeration date
06/19/2006
Last updated
09/11/2025
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