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NPI Code Detail

MEDICARE: LAUREN PULIDO

MEDICARE:   LAUREN  PULIDO
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
1101YM0800XMental Health CounselorC15302NV
2101YP2500XProfessional CounselorCP6103NV

General Provider Information

NPI Number : 1235816497
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN PULIDO
Provider Business Mailing Address
First Line : 3127 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3133
Country : US
Telephone Number : 832-418-5433
Fax Number :
Provider Business Practice Location Address
First Line : 3127 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3133
Country : US
Telephone Number : 702-850-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 08/08/2025

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Directions to “ LAUREN PULIDO ” Practice Location

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