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NPI Code Detail

MEDICARE: MARILYN LAMASCUS, LCSW, LLC

MEDICARE: MARILYN LAMASCUS, LCSW, LLC
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
11041C0700XClinical Social Worker3074-CNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11174700736OTHERNVGROUP NPI
211703712OTHERNVCAQH ID#
3412714OTHERNVMHN

General Provider Information

NPI Number : 1174700736
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARILYN LAMASCUS, LCSW, LLC
Provider Business Mailing Address
First Line : 2441 TECH CENTER CT
Second Line : SUITE108
City : LAS VEGAS
State : NV
Zip : 89128-0804
Country : US
Telephone Number : 702-629-6351
Fax Number : 702-629-6367
Provider Business Practice Location Address
First Line : 2441 TECH CENTER CT
Second Line : SUITE108
City : LAS VEGAS
State : NV
Zip : 89128-0804
Country : US
Telephone Number : 702-629-6351
Fax Number : 702-629-6367
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MARILYN LAMASCUS
Credential : LCSW
Telephone Number : 702-629-6351
Provider Enumeration Date : 01/25/2008
Last Update Date : 06/25/2008

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