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NPI Code Detail

MEDICARE: LORI AGUIRRE

MEDICARE:   LORI  AGUIRRE
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
1103K00000XBehavior Analyst1095209

General Provider Information

NPI Number : 1346585445
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI AGUIRRE
Provider Business Mailing Address
First Line : 16946 SHERMAN WAY
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16946 SHERMAN WAY
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3613
Country : US
Telephone Number : 818-401-0661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2012
Last Update Date : 11/30/2012

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Directions to “ LORI AGUIRRE ” Practice Location

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