Individual
LYNAIA HOOGEWERF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5233 E SOUTHERN AVE STE 104, MESA, AZ 85206-3628
(480) 567-5267
Mailing address
8380 W EMILE ZOLA AVE UNIT 5118, PEORIA, AZ 85385-2006
(602) 529-4800
(602) 529-4799
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3259
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
985912
—
AZ
01
—
Z173559
MEDICARE PTAN
AZ
Enumeration date
03/14/2007
Last updated
06/07/2023
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