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NPI Code Detail

MEDICARE: CARMEN CATHERINE LINTAG ENRIQUEZ

MEDICARE:   CARMEN CATHERINE LINTAG ENRIQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053171330
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN CATHERINE LINTAG ENRIQUEZ
Provider Business Mailing Address
First Line : 6321 SYCAMORE GROVE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-5338
Country : US
Telephone Number : 702-574-7453
Fax Number :
Provider Business Practice Location Address
First Line : 6321 SYCAMORE GROVE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-5338
Country : US
Telephone Number : 702-574-7453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 03/21/2024

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Directions to “ CARMEN CATHERINE LINTAG ENRIQUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.