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NPI Code Detail

MEDICARE: ALLURA KAYLEN LAUBERT

MEDICARE: ALLURA KAYLEN LAUBERT
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 TechnicianBACB568900FL

General Provider Information

NPI Number : 1659994762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLURA KAYLEN LAUBERT
Provider Business Mailing Address
First Line : 8496 BRANCHWATER DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32244-7423
Country : US
Telephone Number : 904-728-3689
Fax Number :
Provider Business Practice Location Address
First Line : 8382 BAYMEADOWS RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4447
Country : US
Telephone Number : 904-728-3689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2020
Last Update Date : 05/22/2020

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Directions to “ ALLURA KAYLEN LAUBERT ” Practice Location

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