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NPI Code Detail

MEDICARE: KIRA NICOLE LAVAC ARTHUR LAC

MEDICARE:   KIRA NICOLE LAVAC ARTHUR  LAC
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
1101YM0800XMental Health CounselorLAC-23084AZ

General Provider Information

NPI Number : 1487477006
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA NICOLE LAVAC ARTHUR LAC
Provider Business Mailing Address
First Line : 7530 E ANGUS DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6410
Country : US
Telephone Number : 480-947-5739
Fax Number :
Provider Business Practice Location Address
First Line : 7530 E ANGUS DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6410
Country : US
Telephone Number : 480-947-5739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2024
Last Update Date : 06/23/2026

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Directions to “ KIRA NICOLE LAVAC ARTHUR LAC” Practice Location

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