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NPI Code Detail

MEDICARE: LAFRONTERA CENTER INC.

MEDICARE: LAFRONTERA CENTER INC.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTC13360OTHERAZADHS

General Provider Information

NPI Number : 1023320751
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAFRONTERA CENTER INC.
Provider Business Mailing Address
First Line : 504 W 29TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85713-3353
Country : US
Telephone Number : 520-838-5600
Fax Number : 520-792-0654
Provider Business Practice Location Address
First Line : 1135 N JONES BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3973
Country : US
Telephone Number : 520-206-8600
Fax Number :
Authorized Official
Title or Position : EVP/COO
Name : KATHY GUZMAN WELLS
Credential :
Telephone Number : 520-838-5501
Provider Enumeration Date : 07/10/2010
Last Update Date : 03/19/2026

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Directions to “LAFRONTERA CENTER INC. ” Practice Location

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