| Avanzar Llc | |
|
3444 N Country Club Rd Ste 206b Tucson AZ 85716-1200 | |
| (520) 222-6492 | |
| Not Available |
| Full Name | Avanzar Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3444 N Country Club Rd Ste 206b, Tucson, Arizona |
| Authorized Official Name and Position | Stefanie Lockery (PRINCIPAL) |
| Authorized Official Contact | 5202226492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanzar Llc 1846 E Innovation Park Dr Ste 100 Oro Valley AZ 85755-1963 Ph: (520) 222-6492 | Avanzar Llc 3444 N Country Club Rd Ste 206b Tucson AZ 85716-1200 Ph: (520) 222-6492 |
| NPI Number | 1073346607 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 9931632247 |
|---|---|
| Medicare Enrollment ID | O20241024003965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073346607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stefanie A Lockery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467813535 PECOS PAC ID: 1951696525 Enrollment ID: I20241115000658 |
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