| Ldr Medical Clinic, Llc | |
|
305 W Second St Winslow AZ 86047-3406 | |
| (928) 289-6093 | |
| (928) 289-6787 |
| Full Name | Ldr Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 305 W Second St, Winslow, Arizona |
| Authorized Official Name and Position | Lisa Diane Romero (NURSE PRACTITIONER, BUSINESS OWNER) |
| Authorized Official Contact | 9282896093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldr Medical Clinic, Llc 305 W Second St Winslow AZ 86047-3406 Ph: (928) 289-6093 | Ldr Medical Clinic, Llc 305 W Second St Winslow AZ 86047-3406 Ph: (928) 289-6093 |
| NPI Number | 1255846788 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255846788 | NPI | - | NPPES |
| 1255575411 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP3306 (Arizona) | Primary |
Winslow Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Lee St, Winslow, AZ 86047 Phone: 928-289-3396 Fax: 928-289-2801 | |
Winslow Indian Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 N Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290 | |
Winslow Indian Health Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-6289 | |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W. Lee Street, Winslow, AZ 86047 Phone: 928-289-2000 Fax: 928-289-0036 | |
Winslow Indian Health Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Indiana Ave, Winslow, AZ 86047 Phone: 928-289-4646 Fax: 928-289-6290 | |
Winslow Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Williamson Ave, Winslow, AZ 86047 Phone: 928-289-4691 Fax: 928-289-3855 |