Hardacker, Lori Lynne

Hardacker, Lori Lynne is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 101, Goodyear AZ 85395-2624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hardacker, Lori Lynne can be contacted via phone (623) 935-4700.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 101 Goodyear AZ 85395-2624
Phone: (623) 935-4700
Fax: (623) 935-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4617 Arizona

Profile Details

NPI number 1780612952
LBN Legal business name Hardacker, Lori Lynne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 11th, 2013 - about 11 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 1780612952 NPPES
Arizona MEDICAID 526932

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