Individual
MR. LAVERN K SCHEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1424 S 7TH AVE BLDG C, PHOENIX, AZ 85007-3902
(602) 258-3600
(602) 256-0514
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
(602) 265-8574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1287
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
638554
—
AZ
Enumeration date
11/01/2006
Last updated
04/14/2008
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