MEDICARE: LAURETTA JEAN OROSCO

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	106H00000X	Marriage & Family Therapist	4873	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1023026747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURETTA JEAN OROSCO

Provider Business Mailing Address
First Line	:	5A CALLE SAN MARTIN
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87506-7536
Country	:	US
Telephone Number	:	505-992-8323
Fax Number	:	505-992-8323

Provider Business Practice Location Address
First Line	:	5A CALLE SAN MARTIN
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87506-7536
Country	:	US
Telephone Number	:	505-992-8323
Fax Number	:	505-992-8323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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Directions to “ LAURETTA JEAN OROSCO ” Practice Location

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