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NPI Code Detail

MEDICARE: LAURA LEE BARNES

MEDICARE: LAURA LEE BARNES
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
1183700000XPharmacy TechnicianTCH62357CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1396046298
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LEE BARNES
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 310 3RD AVE STE B8
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-3990
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2010
Last Update Date : 08/02/2024

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Directions to “ LAURA LEE BARNES ” Practice Location

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