Individual
MRS. MARY ANN ANN LECAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10900 N SCOTTSDALE RD., #603, SCOTTSDALE, AZ 85254-5216
(480) 607-3800
(480) 607-3808
Mailing address
10900 N SCOTTSDALE RD., #603, SCOTTSDALE, AZ 85254-5216
(480) 607-3800
(480) 607-3808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
25063
AZ
207R00000X
Internal Medicine Physician
Primary
25063
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080186441
RAIL ROAD
AZ
05
—
398059
—
AZ
01
—
AZ0729180
BSBSAZ
AZ
Enumeration date
06/16/2005
Last updated
05/17/2011
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