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NPI Code Detail

MEDICARE: LAWANDA WEAVER

MEDICARE: LAWANDA WEAVER
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
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1386933976
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWANDA WEAVER
Provider Business Mailing Address
First Line : 3004 ARMSTRONG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5702
Country : US
Telephone Number : 858-569-2167
Fax Number :
Provider Business Practice Location Address
First Line : 3004 ARMSTRONG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5702
Country : US
Telephone Number : 858-569-2167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 04/04/2011

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Directions to “ LAWANDA WEAVER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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