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1952308652 NPI number — THERESA LYNN LA LUZERNE MSN , FNP-C

NPI Number: 1952308652
Health Care Provider/Practitioner: THERESA LYNN LA LUZERNE MSN , FNP-C

Information about “1952308652” NPI (THERESA LYNN LA LUZERNE MSN , FNP-C) exists in 1952308652 in HTML format HTML  |  1952308652 in plain Text format TXT  |  1952308652 in PDF (Portable Document Format) PDF  |  1952308652 in an XML format XML  formats.

NPI Number : 1952308652 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952308652",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LA LUZERNE",
    "FirstName": "THERESA",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSN , FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15127 E RIDGEWAY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOUNTAIN HILLS",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85268-4826",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15025 N THOMPSON PEAK PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85260-2863",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "186-682-5322",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2005",
    "LastUpdateDate": "10/21/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "AP1339",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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