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NPI Code Detail

MEDICARE: LIZETH PINEDA FLOREZ

MEDICARE:   LIZETH  PINEDA FLOREZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1013331222
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZETH PINEDA FLOREZ
Provider Business Mailing Address
First Line : 3404 ROBUST ROBIN PL UNIT 1
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2932
Country : US
Telephone Number : 702-429-1303
Fax Number :
Provider Business Practice Location Address
First Line : 3404 ROBUST ROBIN PL UNIT 1
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2932
Country : US
Telephone Number : 702-429-1303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2014
Last Update Date : 02/07/2014

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Directions to “ LIZETH PINEDA FLOREZ ” Practice Location

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