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NPI Code Detail

MEDICARE: LAURA ROYBAL

MEDICARE: LAURA ROYBAL
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1275824807
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ROYBAL
Provider Business Mailing Address
First Line : 5150 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1237
Country : US
Telephone Number : 702-483-5919
Fax Number : 702-483-5546
Provider Business Practice Location Address
First Line : 5150 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-1237
Country : US
Telephone Number : 702-483-5919
Fax Number : 702-483-5546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2011
Last Update Date : 04/30/2011

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Directions to “ LAURA ROYBAL ” Practice Location

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