MEDICARE: MARY BETH LOCHNER NP

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	363L00000X	Nurse Practitioner	RN058536	AZ
2	363L00000X	Nurse Practitioner	AP0852	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	:	1063592509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BETH LOCHNER NP

Provider Business Mailing Address
First Line	:	PO BOX 43130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3130
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

Provider Business Practice Location Address
First Line	:	8701 S KOLB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-9607
Country	:	US
Telephone Number	:	520-574-6046
Fax Number	:	520-574-6048

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/01/2013

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