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NPI Code Detail

MEDICARE: DR. LAMBERTO CASTILLO JR. DO

MEDICARE:  DR. LAMBERTO  CASTILLO JR. DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982533816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAMBERTO CASTILLO JR. DO
Provider Business Mailing Address
First Line : 1300 S COUNTRY CLUB DR STE 3
Second Line :
City : MESA
State : AZ
Zip : 85210-5162
Country : US
Telephone Number : 480-827-5500
Fax Number :
Provider Business Practice Location Address
First Line : 807 S PONDEROSA ST
Second Line :
City : PAYSON
State : AZ
Zip : 85541-5542
Country : US
Telephone Number : 928-471-3222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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Directions to “ DR. LAMBERTO CASTILLO JR. DO” Practice Location

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