Individual
MRS. LU ANN PENCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6820
(928) 537-6821
Mailing address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6820
(928) 537-6821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3713
AZ
Other
Enumeration date
09/10/2010
Last updated
09/01/2020
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