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NPI Code Detail

MEDICARE: LAURINA WOYEE

MEDICARE: LAURINA WOYEE
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 TechnicianRBT-20-113795AZ

General Provider Information

NPI Number : 1144854134
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURINA WOYEE
Provider Business Mailing Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number :
Provider Business Practice Location Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “ LAURINA WOYEE ” Practice Location

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