Provider Demographics
NPI:1760593446
Name:L.M. MCHENRY, DO, PLLC
Entity Type:Organization
Organization Name:L.M. MCHENRY, DO, PLLC
Other - Org Name:COMPREHENSIVE FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MARKHAM
Authorized Official - Last Name:MCHENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-391-5004
Mailing Address - Street 1:9821 N 95TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4589
Mailing Address - Country:US
Mailing Address - Phone:480-391-5004
Mailing Address - Fax:480-391-5002
Practice Address - Street 1:9821 N 95TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4589
Practice Address - Country:US
Practice Address - Phone:480-391-5004
Practice Address - Fax:480-391-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDD9526Medicare PIN
AZZ104881Medicare PIN