| Lofa Llc | |
|
7440 W Cactus Rd Ste A19 Peoria AZ 85381-9534 | |
| (480) 307-7275 | |
| Not Available |
| Full Name | Lofa Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7440 W Cactus Rd Ste A19, Peoria, Arizona |
| Authorized Official Name and Position | Layth Jarullah (OWNER) |
| Authorized Official Contact | 4803077275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lofa Llc 6781 W Gelding Dr Peoria AZ 85381-4717 Ph: (480) 307-7275 | Lofa Llc 7440 W Cactus Rd Ste A19 Peoria AZ 85381-9534 Ph: (480) 307-7275 |
| NPI Number | 1255081139 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255081139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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