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Individual

LARISA LOPATKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
451 E UNIVERSITY DR, TEMPE, AZ 85281-5391
(480) 965-3346
(480) 965-6531
Mailing address
PO BOX 872104, TEMPE, AZ 85287-2104
(480) 884-1935
(480) 727-3065

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5701
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
928722
AZ
Enumeration date
01/22/2015
Last updated
10/11/2016
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