Provider Demographics
NPI:1336707017
Name:ARIZONA CENTER FOR ADVANCED LIPIDOLOGY PLLC
Entity type:Organization
Organization Name:ARIZONA CENTER FOR ADVANCED LIPIDOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIFFONE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-270-4264
Mailing Address - Street 1:1860 E RIVER RD STE 325-200
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5993
Mailing Address - Country:US
Mailing Address - Phone:520-214-0110
Mailing Address - Fax:866-928-4197
Practice Address - Street 1:1860 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5993
Practice Address - Country:US
Practice Address - Phone:520-214-0110
Practice Address - Fax:866-928-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Single Specialty