Lecavalier, Mary Ann Ann
Lecavalier, Mary Ann Ann is an individual health care provider with primary practice located at 10900 N Scottsdale Rd. #603, Scottsdale AZ 85254-5216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lecavalier, Mary Ann Ann can be contacted via phone (480) 607-3800.Contact Information
Primary practice address
10900 N Scottsdale Rd. #603
Scottsdale AZ 85254-5216
Phone: (480) 607-3800
Fax: (480) 607-3808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 25063 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25063 | Arizona |
Profile Details
| NPI number | 1861497950 |
|---|---|
| LBN Legal business name | Lecavalier, Mary Ann Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 17th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861497950 | NPPES |
| Arizona | Other | 080186441 | RAIL ROAD |
| Arizona | Other | AZ0729180 | RAIL ROAD |
| Arizona | MEDICAID | 398059 | RAIL ROAD |
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