MEDICARE: OCTAVIO RUBEN LAVOIGNET

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1164012183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OCTAVIO RUBEN LAVOIGNET

Provider Business Mailing Address
First Line	:	925 N LINCOLN ST APT 12D
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2768
Country	:	US
Telephone Number	:	720-233-5485
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 N LINCOLN ST APT 12D
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2768
Country	:	US
Telephone Number	:	720-233-5485
Fax Number	:

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

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	01/23/2021

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