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NPI Code Detail

MEDICARE: LAUREN HANCOCK

MEDICARE:   LAUREN  HANCOCK
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
13747P1801XPersonal Care Attendant2103450333NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457016677
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN HANCOCK
Provider Business Mailing Address
First Line : 2560 E SUNSET RD STE 106
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3517
Country : US
Telephone Number : 702-202-0552
Fax Number :
Provider Business Practice Location Address
First Line : 4150 CHANNEL 10 DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5579
Country : US
Telephone Number : 702-840-9943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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Directions to “ LAUREN HANCOCK ” Practice Location

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