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Organization

LYDIA J COHAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDIA J COHAN MD (PRESIDENT)
(928) 649-1971
Entity
Organization

Contact information

Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 251-8500
Mailing address
PO BOX 14631, SCOTTSDALE, AZ 85267-4631
(928) 649-1971
(520) 448-0728

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20724
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20724
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117590
AZ
Enumeration date
09/01/2016
Last updated
09/01/2016
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