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LANA FORMO, PA-C
PA-C
Physician Assistant
NPI: 1396364261IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
8307(AZ)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2020
Contact & Hours
Via practice · 3 locations total
- Address
- 1500 S DOBSON RD STE 202
MESA, AZ 85202 - Phone
- (866) 974-2673
Quick Facts
- NPI
- 1396364261
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 3
- Years in Practice
- 6
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