MEDICARE: LODO PAIN LLC

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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1386503639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LODO PAIN LLC

Provider Business Mailing Address
First Line	:	PO BOX 770
Second Line	:
City	:	CAREFREE
State	:	AZ
Zip	:	85377-0770
Country	:	US
Telephone Number	:	602-456-2860
Fax Number	:

Provider Business Practice Location Address
First Line	:	36800 N SIDEWINDER RD
Second Line	:
City	:	CAREFREE
State	:	AZ
Zip	:	85377-4302
Country	:	US
Telephone Number	:	602-456-2860
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS LONGCAMPS
Credential	:
Telephone Number	:	602-456-2860

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “LODO PAIN LLC ” Practice Location

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