MEDICARE: LIDIA M. PARSONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZS0410X	Surgical Technologist	100160437	AZ

General Provider Information

NPI Number	:	1679437263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIDIA M. PARSONS

Provider Business Mailing Address
First Line	:	8390 E VIA DE VENTURA STE F110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3189
Country	:	US
Telephone Number	:	480-717-7667
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 E VIA DE VENTURA STE F110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-3189
Country	:	US
Telephone Number	:	480-717-7667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ LIDIA M. PARSONS ” Practice Location

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