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LDR MEDICAL CLINIC, LLC
NPI 1255846788
Clinic/Center - Primary Care in Winslow, AZ

Active since December 06, 2017
305 W SECOND ST, WINSLOW, AZ 86047(928) 289-6093(928) 289-6787 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Dec 6, 2017 (2 updates tracked since 2017).

About Ldr Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LDR MEDICAL CLINIC, LLC (NPI 1255846788) is a healthcare organization registered as a primary care in Winslow, Arizona and active in the NPI registry since December 2017. The organization lists Lisa Diane Romero, Nurse Practitioner, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1255846788
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLDR MEDICAL CLINIC, LLC
Location Address305 W SECOND STWinslow, AZ 86047-3406
Mailing Address305 W Second StWinslow, AZ 86047-3406 · (928) 289-6093 · Fax (928) 289-6787
Phone(928) 289-6093
Fax(928) 289-6787
Organization SubpartNo
Authorized OfficialLisa Diane RomeroNurse Practitioner, Business Owner · (928) 289-6093
Enumeration DateDecember 6, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1255846788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · AP3306
305 W SECOND ST, Winslow, AZ 86047
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Other Identifiers 1

Medicaid1255575411AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ldr Medical Clinic, LLC's NPI number?

The NPI number for Ldr Medical Clinic, LLC is 1255846788. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Ldr Medical Clinic, LLC located?

Ldr Medical Clinic, LLC is located at 305 W Second St, Winslow, AZ 86047. The listed phone number is (928) 289-6093.

What is Ldr Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ldr Medical Clinic, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.