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NPI Code Detail

MEDICARE: MS. LORELEI J NEIBURGER NP

MEDICARE: MS. LORELEI J NEIBURGER 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
1363LA2200XAdult Health Nurse Practitioner049451AZ

Other Identifiers

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

General Provider Information

NPI Number : 1306804075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORELEI J NEIBURGER NP
Provider Business Mailing Address
First Line : 5055 E BROADWAY BLVD STE A-100
Second Line : ARIZONA COMMUNITY PHYSICIANS PC
City : TUCSON
State : AZ
Zip : 85711-3629
Country : US
Telephone Number : 520-327-0460
Fax Number : 520-795-0225
Provider Business Practice Location Address
First Line : 5555 E 5TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2415
Country : US
Telephone Number : 520-721-7886
Fax Number : 520-290-0596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 04/05/2019

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