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NPI Code Detail

MEDICARE: NATASHA LAU - JOHNSON

MEDICARE:   NATASHA  LAU - JOHNSON
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 CounselorNV
2106H00000XMarriage & Family Therapist4862NV

General Provider Information

NPI Number : 1295035715
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA LAU - JOHNSON
Provider Business Mailing Address
First Line : 8344 JO MARCY DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4601
Country : US
Telephone Number : 702-375-3387
Fax Number :
Provider Business Practice Location Address
First Line : 3606 N RANCHO DR STE 142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3130
Country : US
Telephone Number : 702-375-3387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 12/09/2024

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Directions to “ NATASHA LAU - JOHNSON ” Practice Location

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