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NPI Code Detail

MEDICARE: LAURA LARA BARTOLO

MEDICARE:   LAURA  LARA BARTOLO
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
1235Z00000XSpeech-Language Pathologist32492CA

General Provider Information

NPI Number : 1396488060
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LARA BARTOLO
Provider Business Mailing Address
First Line : 3705 PO RIVER WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-7623
Country : US
Telephone Number : 916-868-4139
Fax Number :
Provider Business Practice Location Address
First Line : 3705 PO RIVER WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-7623
Country : US
Telephone Number : 916-868-4139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 04/19/2022

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Directions to “ LAURA LARA BARTOLO ” Practice Location

Language Start Address Practice Location
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.