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NPI Code Detail

MEDICARE: DR. ALBERTO PADERES LORENZO JR. M.D.

MEDICARE:  DR. ALBERTO PADERES LORENZO JR. M.D.
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
1207Q00000XFamily Medicine Physician59644AZ

General Provider Information

NPI Number : 1265731624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERTO PADERES LORENZO JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 1231
Second Line :
City : TUCSON
State : AZ
Zip : 85702-1231
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 620 LEE ST
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2435
Country : US
Telephone Number : 928-289-2000
Fax Number : 928-288-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2011
Last Update Date : 04/20/2026

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Directions to “ DR. ALBERTO PADERES LORENZO JR. M.D.” Practice Location

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