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NPI Code Detail

MEDICARE: DR. PAULA BUENDIA LANCHAS PT, DPT

MEDICARE: DR. PAULA BUENDIA LANCHAS PT, DPT
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
1225100000XPhysical Therapist2024023019MO

General Provider Information

NPI Number : 1467290577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA BUENDIA LANCHAS PT, DPT
Provider Business Mailing Address
First Line : 5 DOCUMENT DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-6100
Country : US
Telephone Number : 214-783-3634
Fax Number :
Provider Business Practice Location Address
First Line : 5 DOCUMENT DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-6100
Country : US
Telephone Number : 314-970-9115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 07/15/2024

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