Desiongco, Ma Janice Lalitha A

Desiongco, Ma Janice Lalitha A is an individual health care provider with primary practice located at Banner Md Anderson Cancer Center 2946 E. Banner Gateway Drive, Gilbert AZ 85234. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Desiongco, Ma Janice Lalitha A can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
Banner Md Anderson Cancer Center 2946 E. Banner Gateway Drive Gilbert AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP8366 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP8366 Arizona

Profile Details

NPI number 1194181370
LBN Legal business name Desiongco, Ma Janice Lalitha A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Aug 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194181370 NPPES
Arizona MEDICAID 108012

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