Search › Arizona › 363A00000X
Lana Formo, PA-C
NPI 1396364261 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4582 N 1st Ave Ste 170
Tucson, AZ 85718 - Phone
- (520) 829-6776
- Fax
- (520) 829-6661
- Organisation at this address
- Vacc Laboratories, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 1500 S Dobson Rd Ste 202, Mesa, AZ
- 4881 E Grant Rd, Tucson, AZ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona