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NPI Code Detail

MEDICARE: LCS HEALTHCARE GROUP LLC

MEDICARE: LCS HEALTHCARE GROUP 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
1363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1992174585
Entity Type Code : Organization
Provider Name (Legal Business Name) : LCS HEALTHCARE GROUP LLC
Provider Business Mailing Address
First Line : 599 E WILCOX DR
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-2531
Country : US
Telephone Number : 520-459-4600
Fax Number :
Provider Business Practice Location Address
First Line : 599 E WILCOX DR
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-2531
Country : US
Telephone Number : 520-459-4600
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EILEEN A COULSTON
Credential : NP
Telephone Number : 520-266-3028
Provider Enumeration Date : 09/24/2015
Last Update Date : 03/26/2024

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Directions to “LCS HEALTHCARE GROUP LLC ” Practice Location

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