Lord, Autumn R

Lord, Autumn R is an individual health care provider with primary practice located at 1668 E Kelsi Ave , San Tan Valley AZ 85140-4085. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lord, Autumn R can be contacted via phone (480) 616-5133.

Contact Information

Primary practice address
1668 E Kelsi Ave San Tan Valley AZ 85140-4085
Phone: (480) 616-5133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1134862766
LBN Legal business name Lord, Autumn R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Apr 20th, 2022 - about 3 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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