Individual
DESPINA LALOUDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Mailing address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN089214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1482
HEALTHNET
AZ
05
—
504086
—
AZ
Enumeration date
02/06/2006
Last updated
01/18/2008
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