Search › Arizona › 171M00000X
Lidia Portan
NPI 1407024383 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6559 W Pinnacle Peak Rd
Glendale, AZ 85310 - Phone
- (623) 376-6134
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-13
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