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Contact Information

ERICA LALO
HWY 264 MP388
POLACCA, AZ86042
 Phone: 928-737-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for ERICA LALO · (Female)

NPI # 1184096786
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2015
Last updated 10/22/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 877928
  • AZ Medicaid 020529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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