| Lay Family Practice Llc | |
|
4494 W Peoria Ave Ste 115a Glendale AZ 85302-2020 | |
| (602) 509-9177 | |
| (480) 666-6287 |
| Full Name | Lay Family Practice Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4494 W Peoria Ave Ste 115a, Glendale, Arizona |
| Authorized Official Name and Position | Jodi Lay (OWNER AND PROVIDER) |
| Authorized Official Contact | 6025099177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lay Family Practice Llc Po Box 406 Laveen AZ 85339-0406 Ph: (480) 431-5067 | Lay Family Practice Llc 4494 W Peoria Ave Ste 115a Glendale AZ 85302-2020 Ph: (602) 509-9177 |
| NPI Number | 1538700059 |
|---|---|
| Provider Enumeration Date | 10/06/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538700059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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