Lardizabal, Santiago L

Lardizabal, Santiago L is an individual health care provider with primary practice located at 19424 N Rh Johnson Blvd , Sun City West AZ 85375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lardizabal, Santiago L can be contacted via phone (623) 584-9985.

Contact Information

Primary practice address
19424 N Rh Johnson Blvd Sun City West AZ 85375
Fax: (623) 584-9986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14445 Arizona

Profile Details

NPI number 1306813845
LBN Legal business name Lardizabal, Santiago L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 2nd, 2017 - about 7 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 1306813845 NPPES
Arizona MEDICAID 239427

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