MEDICARE: LORRETTA K MCCARTHY DO

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	207Q00000X	Family Medicine Physician	3276	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033126248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRETTA K MCCARTHY DO

Provider Business Mailing Address
First Line	:	252 N DANIELSON WAY
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225
Country	:	US
Telephone Number	:	480-239-2195
Fax Number	:

Provider Business Practice Location Address
First Line	:	3960 E RIGGS RD
Second Line	:	SUITE 1
City	:	CHANDLER
State	:	AZ
Zip	:	85249-5411
Country	:	US
Telephone Number	:	480-786-4441
Fax Number	:	480-786-4609

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/12/2024

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