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NPI 1609721646

NPI 1609721646 : LAZUL HEALTH PLLC : WILLCOX, AZ

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General NPI Number Information
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    NPI Number           |    1609721646
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAZUL HEALTH PLLC 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    173 N HASKELL AVE 
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    City                 |    WILLCOX
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    State                |    AZ
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    Zip                  |    85643-2119
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    Country              |    US
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    Telephone            |    480-530-6170
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    Fax                  |    480-520-8942
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Provider Business Mailing Address
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    Address Line         |    173 N HASKELL AVE 
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    City                 |    WILLCOX
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    State                |    AZ
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    Zip                  |    85643-2119
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    Country              |    US
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    Telephone            |    480-530-6170
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    Fax                  |    480-520-8942
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. KRISTIAN  ABARCA 
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    Credential           |    DNP, FNP-C
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    Telephone            |    480-530-6170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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