| Lonny Elson Family Healthcare | |
|
1016 W University Ave Ste 206 Flagstaff AZ 86001-2996 | |
| (928) 266-1530 | |
| Not Available |
| Full Name | Lonny Elson Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1016 W University Ave Ste 206, Flagstaff, Arizona |
| Authorized Official Name and Position | Lonny D Elson (OWNER) |
| Authorized Official Contact | 9282661530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonny Elson Family Healthcare 1016 W University Ave Ste 206 Flagstaff AZ 86001-2996 Ph: (928) 266-1530 | Lonny Elson Family Healthcare 1016 W University Ave Ste 206 Flagstaff AZ 86001-2996 Ph: (928) 266-1530 |
| NPI Number | 1104502418 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 3274995790 |
|---|---|
| Medicare Enrollment ID | O20230816001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104502418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lonny David Elson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912192048 PECOS PAC ID: 4183086606 Enrollment ID: I20230816001357 |
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