MEDICARE: LAUREN ALEXANDER

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	171M00000X	Case Manager/Care Coordinator
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1154811891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ALEXANDER

Provider Business Mailing Address
First Line	:	5155 S TORREY PINES DR APT 1134
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5155 S TORREY PINES DR APT 1134
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0944
Country	:	US
Telephone Number	:	708-642-6006
Fax Number	:

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

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	07/19/2021

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Directions to “ LAUREN ALEXANDER ” Practice Location

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