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NPI Code Detail

MEDICARE: LERHAE SHANISE HURD

MEDICARE: LERHAE SHANISE HURD
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
1106S00000XBehavior TechnicianCO

General Provider Information

NPI Number : 1386509313
Entity Type Code : Individual
Provider Name (Legal Business Name) : LERHAE SHANISE HURD
Provider Business Mailing Address
First Line : 2002 NORTH DR
Second Line :
City : PUEBLO
State : CO
Zip : 81008-1743
Country : US
Telephone Number : 719-289-6427
Fax Number :
Provider Business Practice Location Address
First Line : 1050 S ACADEMY BLVD STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3922
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ LERHAE SHANISE HURD ” Practice Location

Language Start Address Practice Location
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.

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