Individual
DR. LORA J VAN TASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3145 E CHANDLER BLVD STE 110-109, PHOENIX, AZ 85048-8702
(602) 935-9773
Mailing address
3145 E CHANDLER BLVD STE 110-109, PHOENIX, AZ 85048-8702
(602) 935-9773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50424
AZ
Other
Enumeration date
04/27/2012
Last updated
12/11/2023
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