MEDICARE: LAUREN CAPANO

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1003123357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN CAPANO

Provider Business Mailing Address
First Line	:	3970 THE WOODS DR
Second Line	:	APT. 524
City	:	SAN JOSE
State	:	CA
Zip	:	95136-2223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3970 THE WOODS DR
Second Line	:	APT. 524
City	:	SAN JOSE
State	:	CA
Zip	:	95136-2223
Country	:	US
Telephone Number	:	646-761-8982
Fax Number	:

Authorized Official
Title or Position	:	HR BUSINESS PARTNER
Name	:	BELINDA SALINAS
Credential	:
Telephone Number	:	408-628-5504

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	08/01/2013

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Directions to “LAUREN CAPANO ” Practice Location

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