Individual
LAUREEN COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6707 N 19TH AVE, #103, PHOENIX, AZ 85015-1104
(602) 274-4100
(602) 246-1565
Mailing address
6707 N 19TH AVE, #103, PHOENIX, AZ 85015-1104
(602) 274-4100
(602) 246-1565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0644
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
0644
AZ
Other
Enumeration date
07/31/2006
Last updated
10/12/2011
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