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NPI Code Detail

MEDICARE: MS. LAILA BENLAZREG

MEDICARE: MS. LAILA BENLAZREG
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 Technician

General Provider Information

NPI Number : 1598575433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAILA BENLAZREG
Provider Business Mailing Address
First Line : 15330 ELLA BLVD APT 1512
Second Line :
City : HOUSTON
State : TX
Zip : 77090-5328
Country : US
Telephone Number : 713-823-4257
Fax Number :
Provider Business Practice Location Address
First Line : 2111 WEST LOOP S STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3647
Country : US
Telephone Number : 713-823-4257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2025
Last Update Date : 01/13/2025

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Directions to “ MS. LAILA BENLAZREG ” Practice Location

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