Individual
MISS LAKOTA SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT/CRT
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-1802
Mailing address
8075 E AVON PL, TUCSON, AZ 85710-4103
(520) 331-2385
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
010764
AZ
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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