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NPI Code Detail

MEDICARE: LAUREN GONZALEZ, PLLC

MEDICARE: LAUREN GONZALEZ, PLLC
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
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist
32251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1255904116
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUREN GONZALEZ, PLLC
Provider Business Mailing Address
First Line : 8020 S RAINBOW BLVD STE 100-717
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6483
Country : US
Telephone Number : 725-910-1404
Fax Number :
Provider Business Practice Location Address
First Line : 8020 S RAINBOW BLVD STE 100-717
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6483
Country : US
Telephone Number : 725-910-1404
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : LAUREN GONZALEZ
Credential : PT, DPT
Telephone Number : 304-690-5546
Provider Enumeration Date : 07/20/2021
Last Update Date : 01/14/2026

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Directions to “LAUREN GONZALEZ, PLLC ” Practice Location

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