MEDICARE: MEGAN TURNER LPN

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	164W00000X	Licensed Practical Nurse	232354	AZ

General Provider Information

NPI Number	:	1285245571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN TURNER LPN

Provider Business Mailing Address
First Line	:	3255 PALO VERDE CIR
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86404-2783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 STARLINE DR
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86406-5400
Country	:	US
Telephone Number	:	928-505-1490
Fax Number	:	928-505-1499

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

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	08/11/2020

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